Individual provider · Type 1 NPI
Dana Bourgeois
Professional Counselor · Thibodaux, LA
NPI number
1063003135
Active
Practice location
197 Jolie Oaks Blvd 197 Jolie Oaks Blvd
Thibodaux, LA 70301
Mailing address
197 Jolie Oaks Blvd
Thibodaux, LA 70301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | None listed |
| Professional Counselor Primary | 101YP2500X | 7260 (LA) |
Professional Counselor: Definition to come...
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About NPI 1063003135
Dana Bourgeois's National Provider Identifier is 1063003135, issued on Feb 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thibodaux, LA. The record was last updated on Feb 1, 2021.