Individual
ELIZABETH FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
11616 SOUTHFORK AVE, BATON ROUGE, LA 70816-5241
(225) 291-9646
(225) 291-9692
Mailing address
13723 CALCASIEU AVE, BATON ROUGE, LA 70818-2806
(225) 302-5598
(225) 291-9692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600751961
—
LA
Enumeration date
10/23/2015
Last updated
10/23/2015
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