Individual
COURTNEY LEAH BOULIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104
(318) 675-0804
(318) 425-9030
Mailing address
2102 GARY ST., WINNSBORO, LA 71295
(318) 794-4053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
07/27/2018
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