Individual
DR. MARC B BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1011 HARDING ST., LAFAYETTE, LA 70503
(337) 501-2624
(337) 482-6747
Mailing address
112 ALMA DR, BROUSSARD, LA 70518-4787
(337) 501-2624
(337) 482-6747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4930
LA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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