Individual
MRS. AMANDA GAINES VIGREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
59015 AMBER ST STE A3, SLIDELL, LA 70461-5398
(985) 707-8878
Mailing address
58344 LIBERTY DR, SLIDELL, LA 70460-3114
(985) 707-8878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6324
LA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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