Individual
CASEY MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3955 GOVERNMENT ST STE 6, BATON ROUGE, LA 70806-5755
(225) 433-7592
Mailing address
3955 GOVERNMENT ST STE 6, BATON ROUGE, LA 70806-5755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5656
LA
175T00000X
Peer Specialist
OBHPSS915
LA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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