Individual
DEESHONDA GEORGETOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 MILLERVILLE RD STE D, BATON ROUGE, LA 70816
(225) 349-8984
Mailing address
2929 MILLERVILLE RD STE D, BATON ROUGE, LA 70816-2965
(225) 349-8984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
07/31/2018
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