Provider Demographics
NPI:1043208275
Name:GIGOUX, V. RENEE' (LPC)
Entity Type:Individual
Prefix:MS
First Name:V.
Middle Name:RENEE'
Last Name:GIGOUX
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 1:8736 COPPERTOWNE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8086
Mailing Address - Country:US
Mailing Address - Phone:972-613-0385
Mailing Address - Fax:972-613-6475
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 711
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5600
Practice Address - Country:US
Practice Address - Phone:972-613-0385
Practice Address - Fax:972-613-6475
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3763LCOtherBLUE CROSS BLUE SHIELD