Individual
TIFFANY GAUBERT RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
264 HARVEST CT, THIBODAUX, LA 70301-3990
(985) 859-0425
Mailing address
264 HARVEST CT, THIBODAUX, LA 70301-3990
(985) 859-0425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6605
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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