Individual
RONNIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3185 OAKCREST DR, BATON ROUGE, LA 70814-2589
(225) 312-7087
Mailing address
3185 OAKCREST DR, BATON ROUGE, LA 70814-2589
(225) 312-7087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
LA
Enumeration date
12/04/2017
Last updated
06/16/2018
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