Elise Mae Thibodeaux
Professional Counselor
2001 S Barrington Ave
Los Angeles
, California 90025-5363
Elise Mae Thibodeaux
Professional Counselor
2001 S Barrington Ave
Los Angeles
, California 90025-5363
(715) 441-9655
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Elise Mae Thibodeaux
- 3401 Manning Ave Apt 305
- Los Angeles, CA
- Zip : 90064-4895
- Phone : (715) 441-9655
Second Address
- Elise Mae Thibodeaux
- 2001 S Barrington Ave
- Los Angeles, CA
- Zip : 90025-5363
- Phone : (323) 379-2147
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | LPCC4458 | CA |
National Provider Identifier
| NPI | 1003327735 |
|---|---|
| Provider Name | Elise Mae Thibodeaux |
| First Address | Los Angeles, CA 90064-4895 |
| Second Address | Los Angeles, CA 90025-5363 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2017 |
| Last Update Date | 20/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.