BRIAN JOHN GAUTHIER

COVINGTON, LA
NPI1124794532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  RAC-5088)
Enumeration Date2021-08-17
Last Update Date2026-07-21
Business Address
BRIAN JOHN GAUTHIER RAC
19344 N 10TH ST
COVINGTON, LA 70433-8877
Phone number: 985-276-4165
Mailing Address
BRIAN JOHN GAUTHIER RAC
2235 POYDRAS ST
NEW ORLEANS, LA 70119-7561
Phone number: 504-524-7205