Individual
LEAH RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
318 WISTERIA ST, THIBODAUX, LA 70301-6451
(985) 859-5931
Mailing address
318 WISTERIA ST, THIBODAUX, LA 70301-6451
(985) 859-5931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC9588
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/10/2023
Last updated
05/31/2024
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