Individual
ALEICE WILMORE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 SABAL PALMS ROW STE 1, YOUNGSVILLE, LA 70592-6754
(318) 794-1766
Mailing address
201 CALDWELL CT, LAFAYETTE, LA 70508-7387
(318) 794-1766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18688
LA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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