Individual
CHRISTIAN NICOLE GULLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 GRAYSON ST, WEST MONROE, LA 71292-6231
(318) 570-5907
Mailing address
217 ALTA MIRA DR, WEST MONROE, LA 71291-9798
(318) 680-0375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/18/2022
Last updated
05/02/2025
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