Individual
LATHUCHUR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9487 BROOKLINE AVE, BATON ROUGE, LA 70809-1429
(225) 930-2993
Mailing address
9487 BROOKLINE AVE, BATON ROUGE, LA 70809-1429
(225) 930-2993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2015
Last updated
08/16/2021
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