Individual
PAUL J GANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,PHD
Contact information
Practice address
301 ABBY RD, THIBODAUX, LA 70301-6020
(985) 448-0764
(985) 448-1912
Mailing address
301 ABBY RD, THIBODAUX, LA 70301-6020
(985) 448-0764
(985) 448-1912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA1554
LA
101YP2500X
Professional Counselor
Primary
1554
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821716761
TAX ID #
LA
Enumeration date
03/29/2006
Last updated
01/19/2024
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