Individual
AMANDA MONTEGUT BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
429 W AIRLINE HWY STE B, LA PLACE, LA 70068-3817
(985) 222-0126
Mailing address
14 LAGI ST, LA PLACE, LA 70068-8409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5859
LA
Other
Enumeration date
03/18/2020
Last updated
05/26/2023
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