Provider Demographics
NPI:1871744003
Name:ROBELOT, ALFRED LOUIS JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:LOUIS
Last Name:ROBELOT
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:1056 E WORTHY ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4369
Mailing Address - Country:US
Mailing Address - Phone:225-603-3135
Mailing Address - Fax:225-647-0658
Practice Address - Street 1:1056 E WORTHY ST
Practice Address - Street 2:SUITE E
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4369
Practice Address - Country:US
Practice Address - Phone:225-603-3135
Practice Address - Fax:225-647-0658
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA34221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical