Individual
BRETT MICHAEL THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., PLPC
Contact information
Practice address
1602 W PINHOOK RD STE 306, LAFAYETTE, LA 70508-3735
(337) 256-9282
Mailing address
1602 W PINHOOK RD STE 306, LAFAYETTE, LA 70508-3735
(337) 256-9282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7687
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/01/2019
Last updated
03/27/2024
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