Individual
KRISTIN CHAMPINE PASQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
312 E BAYOU RD, THIBODAUX, LA 70301-8036
(985) 446-5244
Mailing address
312 E BAYOU RD, THIBODAUX, LA 70301-8036
(985) 446-5244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9434
LA
101YM0800X
Mental Health Counselor
Primary
9434
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/26/2018
Last updated
03/26/2025
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