Brent M Thibodaux LAC

NPI 1295078426 - Counselor - 101YA0400X

NPI Details
NPI 1295078426
Gender Male
Enumeration Date 04/06/2013
Last Updated 04/06/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1271 BELLEVIEW ST
MORGAN CITY LA, 70380-5351, US
Phone (985) 399-3330
Fax (985) 399-3332
Business Location
1271 BELLEVIEW ST
MORGAN CITY LA, 70380-5351, US
Phone (985) 399-3330
Fax (985) 399-3332
Toxanomy
Taxonomy Code 101YA0400X
License State Louisiana
License Number 1240
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According to our database, Brent M Thibodaux LAC NPI is 1295078426, taxonomy code is 101YA0400X and license number is 1240, license state is located at Louisiana. Brent M Thibodaux LAC physically located at 1271 Belleview St, Morgan City LA, 70380-5351. NPI Number Brent M Thibodaux LAC has the Individual type.

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1295078426 NPI number is provided on an as is basis without warranty of any kind. 1295078426 is maintained by the National Plan & Provider Enumeration System. The contents of Brent M Thibodaux LAC are for informational purposes only.