Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 2184 | LA |
NPI | 1003039447 |
---|---|
Provider Name | Janet Roy |
First Address | Baton Rouge, LA 70806-5820 |
Second Address | Baton Rouge, LA 70806-5820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |