Individual
CRYSTAL ELAM
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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