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ADARIAN SHAWNTELL BOURGEOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
315 S COLLEGE RD STE 180, LAFAYETTE, LA 70503-3277
(337) 417-9897
Mailing address
315 S COLLEGE RD STE 180, LAFAYETTE, LA 70503-3277

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LA
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/18/2017
Last updated
06/15/2026
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