Individual
SEIJI JONAE MUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2156 WOODDALE BLVD, BATON ROUGE, LA 70806-1403
(225) 930-8058
Mailing address
2414 S EDWARD AVE, GONZALES, LA 70737-3762
(504) 510-7617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
—
LA
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
07/19/2021
Last updated
06/17/2024
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