Individual
BONNIE FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 PLANTATION RD APT 1, THIBODAUX, LA 70301-4442
(985) 209-5799
Mailing address
300 PLANTATION RD APT 1, THIBODAUX, LA 70301-4442
(985) 209-5799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5383
LA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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