Individual
JULIA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 N DONMOOR AVE APT 4, BATON ROUGE, LA 70806-2819
(225) 508-2784
Mailing address
680 N DONMOOR AVE APT 4, BATON ROUGE, LA 70806-2819
(225) 508-2784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
01/04/2017
Last updated
04/25/2018
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