Individual
KOURTNIE BAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
117 SUMMER CYPRESS LN, BELLE CHASSE, LA 70037
(504) 912-6393
Mailing address
117 SUMMER CYPRESS LANE, BELLE CHASSE, LA 70037
(504) 912-6393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7906
LA
Other
Enumeration date
02/27/2017
Last updated
05/23/2022
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