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Individual

DR. JIMMY F TRAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LOUISIANA LPC # 6765

Contact information

Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162
Mailing address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6765
LA

Other

Enumeration date
10/22/2018
Last updated
10/13/2022
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