Individual
MADISON R JOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
Mailing address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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