Individual
CIERA LEBOUEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
Mailing address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
03/06/2018
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