Individual
BERNADETTE THIBODAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, CCGC
Contact information
Practice address
521 LEGION AVE, HOUMA, LA 70364-3339
(985) 857-3612
(985) 857-3782
Mailing address
521 LEGION AVE, HOUMA, LA 70364-3339
(985) 857-3612
(985) 857-3782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
108
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
581
LA
Other
Enumeration date
07/11/2006
Last updated
10/23/2007
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