Individual
MARY GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
1884 HIGHWAY 165 S, OAKDALE, LA 71463-3500
(318) 335-3501
Mailing address
1884 HIGHWAY 165 S, OAKDALE, LA 71463-3500
(318) 335-3501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6652
LA
Other
Enumeration date
06/26/2019
Last updated
09/03/2024
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