Individual
MR. GREG ALLEN TIRITILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
150 CORA DR, BATON ROUGE, LA 70815-4201
(225) 387-1611
(225) 347-5300
Mailing address
150 CORA DR, BATON ROUGE, LA 70815-4201
(225) 387-1611
(225) 347-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1387
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
05/06/2021
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