Individual
KENEITH AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 WOODDALE BLVD, BATON ROUGE, LA 70806-1442
(225) 333-2460
Mailing address
10950 JEFFERSON HWY, NEW ORLEANS, LA 70123-1765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
12/05/2022
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