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Kerry Thibodeaux, LPC

Counselor, Professional in Lafayette, LA. Individual provider (NPI-1).

NPI number1235697384
StatusActive
Last updated in NPPESMar 7, 2019

Details

NPI
1235697384
Entity type
Individual (NPI-1)
Name
Mr. Kerry Thibodeaux
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 7, 2019
Last updated
Mar 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional3491LAYes

Practice location

700 Saint Landry St
Lafayette, LA 70506-4630

Phone 337-210-5145

Mailing address

516 E Pinhook Rd
Lafayette, LA 70501-8610

Phone 337-521-7580 · Fax 337-521-7581

Other practice locations

805 S Union St
Opelousas, LA 70570-6029

Phone 337-678-4004 · Fax 337-678-3777

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