Individual
JUSTIN MICHAEL GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10116 GAIL CT, RIVER RIDGE, LA 70123-1930
(504) 628-1509
Mailing address
10116 GAIL CT, RIVER RIDGE, LA 70123-1930
(504) 628-1509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6085
LA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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