Individual
GABRIELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 COLONIAL DR, BATON ROUGE, LA 70806-6549
(225) 246-2162
Mailing address
711 COLONIAL DR, BATON ROUGE, LA 70806-6549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467745000
NPI
—
01
—
1699040675
NPI
LA
Enumeration date
05/04/2016
Last updated
09/07/2016
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