Individual
MRS. JULIE C. BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
28316 ROSE OAK ST, PONCHATOULA, LA 70454-8126
(985) 792-5260
Mailing address
28316 ROSE OAK ST, PONCHATOULA, LA 70454-8126
(985) 792-5260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4602
LA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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