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General NPI Number Information
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NPI Number | 1609632751
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Entity Type | Individual
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Provider Name | REBECCA LANDRY LPC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 500 RODERICK ST STE B
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City | MORGAN CITY
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State | LA
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Zip | 70380-2278
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Country | US
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Telephone | 985-918-6462
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Fax |
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Provider Business Mailing Address
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Address Line | 158 REGAL ROW
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City | HOUMA
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State | LA
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Zip | 70360-6097
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Country | US
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Telephone | 985-918-6462
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9723
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License Number State | LA
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