Individual
ROGER KEITH BOTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT, MT-BC
Contact information
Practice address
4206 STATE STREET DR, NEW ORLEANS, LA 70125-2733
(337) 315-2549
Mailing address
4206 STATE STREET DR, NEW ORLEANS, LA 70125-2733
(337) 315-2549
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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