Individual
PAIGE PELLEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-S
Contact information
Practice address
103 MENARD DR, BOURG, LA 70343-3631
(985) 804-2112
Mailing address
103 MENARD DR, BOURG, LA 70343-3631
(985) 804-2112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6200
LA
101YM0800X
Mental Health Counselor
6200
LA
101YP2500X
Professional Counselor
Primary
6200
LA
Other
Enumeration date
11/06/2023
Last updated
02/23/2026
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