Individual
CHRISTOPHER GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 CENTRAL AVE, EDGARD, LA 70049-2531
(985) 288-7688
Mailing address
177 CENTRAL AVE, EDGARD, LA 70049-2531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010154629
LA
Other
Enumeration date
01/27/2017
Last updated
01/31/2017
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