Individual
JEFF CULLEN MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC-5049
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Mailing address
3015 HIGHWAY 956, ETHEL, LA 70730-4520
(225) 683-4144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5049
LA
Other
Enumeration date
02/04/2019
Last updated
01/17/2025
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