Individual
AMANDA ROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
142 LAURA DR STE D, THIBODAUX, LA 70301-2988
(985) 446-4114
Mailing address
138 FAMILY FARM RD, LOCKPORT, LA 70374-4281
(985) 637-2903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5293
LA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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