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Merril Thibodeaux
Professional Counselor in Lafayette, Louisiana
NPI 1164081832

Merril Thibodeaux is a Professional Counselor based in Lafayette, LA and is specialized in Professional. Merril Thibodeaux practices in Lafayette, LA. The NPI Number for Merril Thibodeaux is 1164081832 and holds a License No. 2 (Louisiana).

The current practice location address for Merril Thibodeaux is 501 W Saint Mary Blvd Ste 210, Lafayette, LA and can be reached out via phone at 337-233-1114.

Location: 501 W Saint Mary Blvd Ste 210, Lafayette, LA, 70505-3388
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Provider Profile Details
NPI Number
1164081832
Provider Name
Merril Thibodeaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
501 W Saint Mary Blvd Ste 210, Lafayette, LA, 70505-3388
Phone Number
337-233-1114
Fax Number
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2 01 LA STATE - LICENSED ADDICTION COUNSELOR
institution
Provider Business Practice Location Address Details
Address
501 W Saint Mary Blvd Ste 210
City
State
Zip
70506-4699
Phone Number
337-233-1114
Fax Number
person
Provider Business Mailing Address Details
Address
501 W Saint Mary Blvd Ste 210
City
State
Zip
70506-4699
Phone Number
337-233-1114
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2 (Louisiana)
Definition
Definition to come...
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