Individual
ANGELE MARY THIBODAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
304 E 39TH ST, CUT OFF, LA 70345-2634
(985) 291-0021
Mailing address
304 E 39TH ST, CUT OFF, LA 70345-2634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8653
LA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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