Mickey Gudon Businelle LPC

NPI 1689868234 - Counselor - 101YP2500X

NPI Details
NPI 1689868234
Gender Male
Enumeration Date 08/28/2007
Last Updated 10/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
4105 KIRKMAN ST
LAKE CHARLES LA, 70607-4603, US
Phone (337) 475-8022
Fax
Business Location
4105 KIRKMAN ST
LAKE CHARLES LA, 70607-4603, US
Phone (337) 475-8022
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Louisiana
License Number 3916
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According to our database, Mr. Mickey Gudon Businelle LPC NPI is 1689868234, taxonomy code is 101YP2500X and license number is 3916, license state is located at Louisiana. Mickey Gudon Businelle LPC physically located at 4105 Kirkman St, Lake Charles LA, 70607-4603. NPI Number Mickey Gudon Businelle LPC has the Individual type.

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1689868234 NPI number is provided on an as is basis without warranty of any kind. 1689868234 is maintained by the National Plan & Provider Enumeration System. The contents of Mickey Gudon Businelle LPC are for informational purposes only.