Individual
MICHELLE GUIRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC, LPC
Contact information
Practice address
143 RIDGEWAY DR, SUITE 215, LAFAYETTE, LA 70503-3414
(337) 577-4725
Mailing address
PO BOX 82587, LAFAYETTE, LA 70598-2587
(337) 577-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1275
—
101YP2500X
Professional Counselor
Primary
4379
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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