Individual
ANA-ALICIA GOUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 HUDSON LN, MONROE, LA 71201-6003
(318) 322-6500
Mailing address
10080 HIGHWAY 129, MONTEREY, LA 71354-4606
(504) 451-2734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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