Provider Demographics
NPI:1386827822
Name:BALTODANO-DUBEY, MONICA (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:BALTODANO-DUBEY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-4463
Mailing Address - Country:US
Mailing Address - Phone:504-779-7484
Mailing Address - Fax:504-779-7484
Practice Address - Street 1:2901 RIDGELAKE DR STE 104
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4946
Practice Address - Country:US
Practice Address - Phone:504-621-7914
Practice Address - Fax:504-324-0424
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional