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Individual

MS. MARIANNE ANTOINETTE TERREBONNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-S, LMFT

Contact information

Practice address
202 BROADWAY DR., GRETNA, LA 70053-5037
(504) 361-1999
Mailing address
202 BROADWAY DR., GRETNA, LA 70053-5037
(504) 361-1999

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
710
LA
106H00000X
Marriage & Family Therapist
202
LA

Other

Enumeration date
10/12/2021
Last updated
10/12/2021
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