Individual
HEATHER GREMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 LINDALE AVE, BATON ROUGE, LA 70815-4161
(225) 442-9420
Mailing address
806 PAOLA ST, BAKER, LA 70714-4354
(225) 955-0106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/20/2016
Last updated
04/03/2019
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