Provider Demographics
NPI:1689611816
Name:LEROUX, CATHERINE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:LEROUX
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70611-4808
Mailing Address - Country:US
Mailing Address - Phone:337-855-1605
Mailing Address - Fax:337-855-0669
Practice Address - Street 1:1170 WEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-4808
Practice Address - Country:US
Practice Address - Phone:337-855-1605
Practice Address - Fax:337-855-0669
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2373101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional