Individual
DANA C BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4919 JAMESTOWN AVE, SUITE 101, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Mailing address
4919 JAMESTOWN AVE, SUITE 101, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3237
LA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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