Individual
JANICE GRIFFIN REBSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2455 WOODDALE BLVD, BATON ROUGE, LA 70805-7569
(225) 922-3169
(225) 922-3225
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-4282
(225) 925-1987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
099
LA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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