Individual
TAMYRA F BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC
Contact information
Practice address
5525 SUPERIOR DR STE C1, BATON ROUGE, LA 70816-8052
(225) 753-1452
(225) 293-9188
Mailing address
5525 SUPERIOR DR., SUITE C-1, BATON ROUGE, LA 70816
(225) 753-1452
(225) 293-9188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2806
LA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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