Provider Demographics
NPI:1033966916
Name:DUGAS, AMBER GUILLORY (PLPC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:GUILLORY
Last Name:DUGAS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 HIGHWAY 1252
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5407
Mailing Address - Country:US
Mailing Address - Phone:337-962-3224
Mailing Address - Fax:
Practice Address - Street 1:123 RIDGEWAY DR STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3441
Practice Address - Country:US
Practice Address - Phone:337-254-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9960101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor