Individual
DAWN MARIE BOUILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 OIL CENTER DR, LAFAYETTE, LA 70503
(337) 306-9744
Mailing address
14456 STANLEY PVT LANE, MAURICE, LA 70555-2482
(601) 398-5033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8592
LA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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