Individual
ANDI SIVA MARIE JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 IBERVILLE ST, NEW ORLEANS, LA 70119-5516
(612) 751-6162
Mailing address
224 S MURAT ST, NEW ORLEANS, LA 70119-5964
(612) 751-6162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
12/13/2019
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