Doctor Name: | DR. CAROLYN LACOUR |
NPI Number: | 1023180601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC LMFT EDD |
License Number: | 04991LPC |
Business Practice Address: | 507 E Austin Marshall, TX - 75670 |
Business Phone Number: | 9039384357 |
Business Fax Number: | 9039384357 |
Mailing Address: | 321 Hwy 495, CLOUTIERVILLE |
State: | LA |
Postal Code: | 71416 |
Phone Number: | 3183790999 |
Fax Number: | 3183790999 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 04991LPC |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |