Individual
MAZIE MARTISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 MYRTLE AVE, BATON ROUGE, LA 70806-6722
(318) 372-4210
Mailing address
2000 MYRTLE AVE, BATON ROUGE, LA 70806-6722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7534
LA
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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