Individual
ELOUISE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Mailing address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 879-3966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8072
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
06/19/2019
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