Individual
DESTINY SHANICE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CONVENTION ST STE B, BATON ROUGE, LA 70806-3711
(225) 831-1480
Mailing address
3180 CONVENTION ST STE B, BATON ROUGE, LA 70806-3711
(225) 831-1480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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