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Individual

MR. MICKEY GUDON BUSINELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1822 W 2ND ST, CROWLEY, LA 70526-4720
(337) 788-7511
(337) 788-4905
Mailing address
1822 W 2ND ST, CROWLEY, LA 70526-4720
(337) 788-7511

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3916
LA

Other

Enumeration date
08/28/2007
Last updated
02/02/2024
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