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Individual

MR. BRAD LOUIS SIBILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC-S

Contact information

Practice address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
(337) 678-1893
Mailing address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
(337) 678-1893

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0008369
OH
101YP2500X
Professional Counselor
Primary
5048
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3363691
LA
Enumeration date
09/24/2007
Last updated
09/22/2022
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