Individual
JOSHUA BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., PLPC, NCC
Contact information
Practice address
115 KEATING DR, BELLE CHASSE, LA 70037-1629
(504) 393-5750
(504) 393-5760
Mailing address
115 KEATING DR, BELLE CHASSE, LA 70037-1629
(504) 393-5750
(504) 393-5760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLPC#5876
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PLPC #5876
LPC BOARD
LA
Enumeration date
08/20/2015
Last updated
08/20/2015
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