Individual
FATIMA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 RIDGEFIELD RD, THIBODAUX, LA 70301-2843
(985) 228-6829
Mailing address
P O BOX 262, SCHRIEVER, LA 70395
(985) 228-6829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5896
LA
101YP2500X
Professional Counselor
Primary
5896
LA
Other
Enumeration date
06/14/2016
Last updated
09/13/2017
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