Individual
BRIAN JOHN GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
2235 POYDRAS ST STE B, NEW ORLEANS, LA 70119-7561
(504) 524-7205
Mailing address
2235 POYDRAS ST, NEW ORLEANS, LA 70119-7561
(504) 524-7205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5213
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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