Individual
NICOLE HAEBERLEIN-PERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2751 WOODDALE BLVD STE A, BATON ROUGE, LA 70805-7567
(225) 907-2218
(833) 734-1627
Mailing address
PO BOX 66558, BATON ROUGE, LA 70896-6558
(225) 922-2700
(225) 362-5319
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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