Individual
ANTHONY BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
711 COLONIAL DR, BATON ROUGE, LA 70806-6549
(225) 246-2162
Mailing address
711 COLONIAL DR, BATON ROUGE, LA 70806-6549
(225) 246-2162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6633
LA
101YP2500X
Professional Counselor
Primary
89067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23-2799679
—
LA
Enumeration date
09/06/2016
Last updated
10/21/2024
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