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Contact Information

REBECCA B BOURGEOIS, LIC CLIN SOCIAL WORK
901 WHITE ST
RUSTON MENTAL HEALTH CENTER
RUSTON, LA71270
 Phone: 318-251-4150
 Fax: 318-251-4177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for REBECCA B BOURGEOIS · (Female)

NPI # 1124084827
Status Active
Credentials LIC CLIN SOCIAL WORK
Entity Individual
Enumeration date 04/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 2664
  • LA Medicaid 1710342
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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