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Individual

ATHENA ANTIPPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S, NCC, MS

Contact information

Practice address
2601 TULANE AVE STE 610, NEW ORLEANS, LA 70119-7454
(504) 454-3740
Mailing address
3801 CANAL ST, SUITE 220, NEW ORLEANS, LA 70119-6082
(504) 482-2735

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4452
LA
171M00000X
Case Manager/Care Coordinator
Primary
4452
LA

Other

Enumeration date
08/20/2013
Last updated
07/09/2021
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