Individual
QUINTIN L GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 925-1906
(225) 362-5356
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 925-1906
(225) 362-5356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4690
LA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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