Individual
MR. JONATHAN D. BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8714 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2002
(225) 771-9980
(225) 308-6084
Mailing address
8714 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2002
(225) 771-9980
(225) 308-6084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14792
LA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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