Dr. Jimmy F Trahan, Louisiana LPC # 6765
Counselor, Professional in Lake Charles, LA. Individual provider (NPI-1).
NPI number1871069435
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1871069435
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jimmy F Trahan
- Credential
- Louisiana LPC # 6765
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2018
- Certification date
- Oct 13, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6765 | LA | Yes |
Practice location
1924 Southwood DrLake Charles, LA 70605-4131
Phone 337-240-8162
Mailing address
1924 Southwood DrLake Charles, LA 70605-4131
Phone 337-240-8162
Other practice locations
127 Williamsburg St Bldg E
Lake Charles, LA 70605-5719
Lake Charles, LA 70605-5719
Phone 337-376-0136 · Fax 337-376-5244
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