Individual provider · Type 1 NPI

Bernadette Thibodaux, LAC, CCGC

Addiction (Substance Use Disorder) Counselor · Houma, LA

NPI number 1366477473 Active

Practice location

521 Legion Ave
Houma, LA 70364-3339

Fax (985) 857-3782

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X108 (LA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X581 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366477473

Bernadette Thibodaux, LAC, CCGC's National Provider Identifier is 1366477473, issued on Jul 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houma, LA. The record was last updated on Oct 23, 2007.