Individual
BLAZE BARRIENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
4700 WICHERS DR STE 200, MARRERO, LA 70072-3054
(504) 645-5506
Mailing address
2517 DANTE ST, NEW ORLEANS, LA 70118-3023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
07/28/2018
Last updated
10/11/2018
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