Individual
CALVIN MALVEAUX SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10840 N RIDGE DR, BATON ROUGE, LA 70811
(225) 806-9558
Mailing address
4242 HIGHWAY 19, STE. 3B, ZACHARY, LA 70791-3981
(225) 757-5699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/10/2016
Last updated
05/14/2018
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