Individual
ERICA LYNN THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
51 E 4TH ST STE 307, WINONA, MN 55987-3509
(507) 205-2405
Mailing address
51 E 4TH ST STE 307, WINONA, MN 55987-3509
(507) 205-2405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1924
MN
101YP2500X
Professional Counselor
1924
MN
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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