Individual
MRS. HALEY BURKETT GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Mailing address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5666
LA
Other
Enumeration date
11/28/2017
Last updated
12/18/2020
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