Individual provider · Type 1 NPI

Jason C. Fanguy, LPC

Professional Counselor · Houma, LA

NPI number 1538520796 Active

Practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

3398 Brookwood Dr
Houma, LA 70360-7297

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X8752 (LA)

Professional Counselor: Definition to come...

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About NPI 1538520796

Jason C. Fanguy, LPC's National Provider Identifier is 1538520796, issued on Mar 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houma, LA. The record was last updated on Oct 3, 2023.