Individual
MR. GREGORY JOSEPH WILTZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
560 BELLE TERRE BLVD # A, LA PLACE, LA 70068-1715
(985) 652-0078
(985) 652-8360
Mailing address
45 CYPRESS GROVE CT, NEW ORLEANS, LA 70131-8938
(504) 419-1717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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