Individual
COURTNEY HAWKINS MALVEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC-S
Contact information
Practice address
4266 WEST MAIN ST. STE 100 ROOM 106, GRAY, LA 70359-6421
(504) 446-6410
Mailing address
107 CESARE DR, THIBODAUX, LA 70301-1102
(504) 255-7115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6249
LA
101YP2500X
Professional Counselor
Primary
6249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122065
—
LA
Enumeration date
12/01/2015
Last updated
08/25/2021
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