Individual
MS. GINA MARIE LIUZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 S I 10 SERVICE RD W STE 215, METAIRIE, LA 70001-7436
(504) 301-9990
Mailing address
4300 S I 10 SERVICE RD W, METAIRIE, LA 70001-7405
(504) 301-9990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396119558
—
LA
Enumeration date
11/25/2015
Last updated
04/22/2022
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