Individual
JESSICA LOUISE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 LAKE FOREST BLVD STE 404, NEW ORLEANS, LA 70127-6201
(504) 821-5220
Mailing address
7922 GREEN ST, NEW ORLEANS, LA 70118-4117
(214) 763-0068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6427
LA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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