Provider Demographics
NPI:1871343970
Name:MARCEAUX, ANDREA NICHOLE (LPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:NICHOLE
Last Name:MARCEAUX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:KAPLAN
Mailing Address - State:LA
Mailing Address - Zip Code:70548-3922
Mailing Address - Country:US
Mailing Address - Phone:337-522-1995
Mailing Address - Fax:
Practice Address - Street 1:312 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:KAPLAN
Practice Address - State:LA
Practice Address - Zip Code:70548-3922
Practice Address - Country:US
Practice Address - Phone:337-522-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional