Individual
MARY CATHERINE BIENVENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 NOLAN TRCE, LEESVILLE, LA 71446-3914
(337) 842-1516
Mailing address
2013 SLAGLE RD, LEESVILLE, LA 71446-2060
(337) 842-1516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1384
LA
101YM0800X
Mental Health Counselor
Primary
4266
LA
Other
Enumeration date
08/01/2012
Last updated
02/10/2016
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