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Organization
MA COUNSELING
Active
Organization
MA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZE ALEXANDER LCSW (OWNER)
(225) 465-7049
Entity
Organization
Contact information
Practice address
9513 SAGEFIELD DR, BATON ROUGE, LA 70818-5016
(231) 740-7882
Mailing address
9513 SAGEFIELD DR, BATON ROUGE, LA 70818-5016
(231) 740-7882
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740522531
—
MI
Enumeration date
03/16/2023
Last updated
05/30/2023
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