Individual
DR. WALTER BREAUX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-S, PH.D.
Contact information
Practice address
308 PELLERIN DR, KENNER, LA 70065-2553
(504) 237-1264
Mailing address
308 PELLERIN DR, KENNER, LA 70065-2553
(504) 237-1264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005553
GA
Other
Enumeration date
04/07/2009
Last updated
04/22/2019
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