Individual
BRANDON J ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1101 AUDUBON AVE STE S1, THIBODAUX, LA 70301-4957
(985) 492-6170
Mailing address
110 HIGHWAY 304, THIBODAUX, LA 70301-7347
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7121
LA
Other
Enumeration date
08/27/2019
Last updated
08/13/2021
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