Individual
MISS WHITLEY MARIE LADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
940 E TOM STOKES CT, BATON ROUGE, LA 70810-3175
(504) 564-4801
Mailing address
940 EAST TOM STOKES CT., BATON ROUGE, LA 70810
(504) 564-4801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4223
LA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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