Most Relevant Information
Provider Data
NPI Number: | 1003471673 |
Provider Name: | JOSHONDA ROBERTSON |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | LPC6161 |
Most Important Dates
Enumeration Date: | 05/08/2019 |
Last Updated: | 07/10/2024 |
Provider Practice Location
2528 TALBOT AVE
THIBODAUX
LA
703019025
Practice Location Phone/Fax
Phone: | 3375793379 |
Fax: |
Provider Mailing Location
215 OLIVIA DR
THIBODAUX
LA
703019025
Provider Mailing Phone/Fax
Phone: | 3375793379 |
Fax: |