Individual provider · Type 1 NPI
Anita Bonvillain, LPC
Professional Counselor · Gray, LA
NPI number
1235503368
Active
Practice location
121 N Terrebonne Dr
Gray, LA 70359-6401
Other practice locations
- 142 Laura Dr Ste B, Thibodaux, LA 70301-2988 · (985) 446-4114
- 106 Hickory St, Thibodaux, LA 70301-2008 · (985) 791-8551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5968 (LA) |
| Mental Health Counselor | 101YM0800X | 5968 (LA) |
Professional Counselor: Definition to come...
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About NPI 1235503368
Anita Bonvillain, LPC's National Provider Identifier is 1235503368, issued on Dec 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gray, LA. The record was last updated on Feb 8, 2020.