Individual
MR. KERRY THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 SAINT LANDRY ST, LAFAYETTE, LA 70506-4630
(337) 210-5145
Mailing address
516 E PINHOOK RD, LAFAYETTE, LA 70501-8610
(337) 521-7580
(337) 521-7581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3491
LA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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