Individual
MS. AMANDA ELIZABETH BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4329 ARROWHEAD ST, BATON ROUGE, LA 70808-3921
(225) 802-6880
Mailing address
4329 ARROWHEAD ST, BATON ROUGE, LA 70808-3921
(225) 802-6880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80920
TX
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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