Mrs. ANITA BONVILLAIN LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1235503368- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 121 N TERREBONNE DR, GRAY, LA, 703596401
- Phone
- (985) 791-8551
Specialties & Taxonomies
Counselor, Professional
Primary License: LA #5968
Counselor, Mental Health
License: LA #5968