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General NPI Number Information
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NPI Number | 1952781239
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Entity Type | Individual
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Provider Name | BARRY JAMES BOUILLION JR. LPC
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Gender | Male
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 222 RUE DE JEAN
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City | LAFAYETTE
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State | LA
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Zip | 70508-3388
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Country | US
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Telephone | 601-398-6797
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Fax |
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Provider Business Mailing Address
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Address Line | 222 RUE DE JEAN
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City | LAFAYETTE
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State | LA
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Zip | 70508-3388
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Country | US
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Telephone | 601-398-6797
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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 | 1970
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC009670
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8606
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License Number State | LA
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