Individual
MR. MARLON ANTHONY BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1010 COMMON ST, SUITE 500, NEW ORLEANS, LA 70112-2401
(504) 302-1323
(504) 324-4573
Mailing address
3021 RUE PARC FONTAINE, APT 610, NEW ORLEANS, LA 70131-6949
(504) 302-1323
(504) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
101YP2500X
Professional Counselor
—
LA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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