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NPI Code Detail

MEDICARE: KIMBERLY LYNN GIROUARD M.S., L.P.C.

MEDICARE: KIMBERLY LYNN GIROUARD M.S., L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4049LA

General Provider Information

NPI Number : 1073899696
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LYNN GIROUARD M.S., L.P.C.
Provider Business Mailing Address
First Line : 124 HEYMANN BLVD
Second Line : SUITE 209
City : LAFAYETTE
State : LA
Zip : 70503-2363
Country : US
Telephone Number : 337-278-9009
Fax Number :
Provider Business Practice Location Address
First Line : 124 HEYMANN BLVD
Second Line : SUITE 209
City : LAFAYETTE
State : LA
Zip : 70503-2363
Country : US
Telephone Number : 337-278-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 10/27/2011

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Directions to “ KIMBERLY LYNN GIROUARD M.S., L.P.C.” Practice Location

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