| Doctor Name: | MISS RENISHA CECILIA OUBRE |
| NPI Number: | 1508221979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED, PLPC |
| License Number: | LEVEL 3: 521315 |
| Business Practice Address: | 3821 Highway 1 Raceland, LA - 703943146 |
| Business Phone Number: | 9855376776 |
| Business Fax Number: | 9855376779 |
| Mailing Address: | 22795 High Ridge Drive, VACHERIE |
| State: | LA |
| Postal Code: | 70090 |
| Phone Number: | 9867136353 |
| Fax Number: | 2252652170 |
| NPI Enumeration Date: | 12/29/2015 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | LEVEL 3: 521315 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |