Provider Demographics
NPI:1962733428
Name:FALCON, BRIDGET ANN (LPC-S, NCC)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:ANN
Last Name:FALCON
Suffix:
Gender:F
Credentials:LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 AUDUBON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5515
Mailing Address - Country:US
Mailing Address - Phone:504-606-9388
Mailing Address - Fax:504-309-6893
Practice Address - Street 1:1925 AUDUBON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5515
Practice Address - Country:US
Practice Address - Phone:504-606-9388
Practice Address - Fax:504-309-6893
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-23
Last Update Date:2010-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional