Provider Demographics
NPI:1205190857
Name:GARCEAU, CECILIA GUEVARA (CAC, CCS)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:GUEVARA
Last Name:GARCEAU
Suffix:
Gender:F
Credentials:CAC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-8153
Mailing Address - Country:US
Mailing Address - Phone:318-349-0768
Mailing Address - Fax:
Practice Address - Street 1:516 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-8153
Practice Address - Country:US
Practice Address - Phone:318-349-0768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1174101YA0400X
LA145101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)