Individual
PAMELA THIBEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 DUPERIER AVE, NEW IBERIA, LA 70563
(337) 419-3586
Mailing address
175 DUPERIER AVE, NEW IBERIA, LA 70563-2415
(337) 419-3586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6985
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/14/2017
Last updated
07/31/2019
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