Individual
MALEAH BOURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MICHAEL ALLEN BLVD, #4E, LAFAYETTE, LA 70501-7649
(337) 233-7250
Mailing address
101 MICHAEL ALLEN BLVD, #4E, LAFAYETTE, LA 70501-7649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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