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4933 Wabash Street Metairie LA 70001-1031 | |
(504) 780-2766 | |
(504) 780-9699 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4933 Wabash Street, Metairie, Louisiana |
Authorized Official Name and Position | Alphonse Kenison Roy (MEDICAL DIRECTOR) |
Authorized Official Contact | 5047802766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4933 Wabash Street Metairie LA 70001-1031 Ph: (504) 780-2766 | 4933 Wabash Street Metairie LA 70001-1031 Ph: (504) 780-2766 |
NPI Number | 1730322595 |
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Provider Enumeration Date | 04/09/2009 |
Last Update Date | 05/28/2015 |
Identifier | Type | State | Issuer |
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1730322595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 439 (Louisiana) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |