KIM WISE-GASTINELL, AD.D

Counselor

Active Individual
NPI: 1255791802

Practice Address

5635 TARRYTOWN AVE
Baton Rouge, LA 70808

Phone: (225) 476-3809

Specialties

Specialty Code Primary License
Psychologist - Counseling 103TC1900X No PLC9874 (LA)
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1255791802 is the National Provider Identifier for KIM WISE-GASTINELL, AD.D, a Counselor provider located in Baton Rouge, LA. This NPI was enumerated on February 24, 2016.
KIM WISE-GASTINELL, AD.D practices at 5635 TARRYTOWN AVE, Baton Rouge, LA 70808.

Quick Facts

NPI
1255791802
Type
Individual
Enumerated
Feb 24, 2016
Last Updated
Dec 9, 2024

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