Individual
NICOLE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 N 17TH ST, BATON ROUGE, LA 70802-3800
(225) 388-5855
Mailing address
153 N 17TH ST, BATON ROUGE, LA 70802-3800
(225) 388-5855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/02/2015
Last updated
04/05/2016
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