Individual
IVAN TOLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5314
Mailing address
PO BOX 66558, BATON ROUGE, LA 70896-6558
(225) 925-1906
(225) 362-5314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1512
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/31/2017
Last updated
08/13/2020
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