person
Jason C Fanguy, Lpc
Professional Counselor in Houma, Louisiana
NPI 1538520796

Jason C Fanguy, Lpc is a Professional Counselor based in Houma, LA and is specialized in Professional. Jason C Fanguy, Lpc practices in Houma, LA. The NPI Number for Jason C Fanguy, Lpc is 1538520796 and holds a License No. (Louisiana).

The current practice location address for Jason C Fanguy, Lpc is 235 Civic Center Blvd, Houma, LA and can be reached out via phone at 985-333-2020.

Location: 235 Civic Center Blvd, Houma, LA, 70360-7297
person
Provider Profile Details
NPI Number
1538520796
Provider Name
Jason C Fanguy, Lpc
Credential
Provider Entity Type
Individual
Gender
Male
Address
235 Civic Center Blvd, Houma, LA, 70360-7297
Phone Number
985-333-2020
Fax Number
Provider Enumeration Date
03/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8752 01 LA LICENSED PROFESSIONAL COUNSELOR LICENSE #8752
institution
Provider Business Practice Location Address Details
Address
235 Civic Center Blvd
City
State
Zip
70360-5937
Phone Number
985-333-2020
Fax Number
person
Provider Business Mailing Address Details
Address
235 Civic Center Blvd
City
State
Zip
70360-5937
Phone Number
985-333-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8752 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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