Individual
MR. EDDIE ST-VIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 GREENWICH DR, BATON ROUGE, LA 70820-8338
(239) 777-4099
Mailing address
11052 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8315
(239) 777-4099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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