Fanguy, Lpc, Jason C

Fanguy, Lpc, Jason C is an sole proprietor health care provider with primary practice located at 235 Civic Center Blvd , Houma LA 70360-5937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fanguy, Lpc, Jason C can be contacted via phone (985) 333-2020.

Contact Information

Primary practice address
235 Civic Center Blvd Houma LA 70360-5937
Phone: (985) 333-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 8752 Louisiana

Profile Details

NPI number 1538520796
LBN Legal business name Fanguy, Lpc, Jason C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2016
Last updated Oct 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538520796 NPPES
Louisiana Other 8752 LICENSED PROFESSIONAL COUNSELOR LICENSE #8752

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