Individual provider · Type 1 NPI
Tamyra F. Bourgeois, PhD, LPC
Professional Counselor · Baton Rouge, LA
NPI number
1710028196
Active
Practice location
5525 Superior Dr Ste C1
Baton Rouge, LA 70816-8052
Fax (225) 293-9188
Mailing address
5525 Superior Dr., Suite C-1
Baton Rouge, LA 70816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2806 (LA) |
Professional Counselor: Definition to come...
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About NPI 1710028196
Tamyra F. Bourgeois, PhD, LPC's National Provider Identifier is 1710028196, issued on Feb 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2007.