Individual
CLARESE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7418
Mailing address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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