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Individual

JAMESHA CORIYAN STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3329 ALBERT ST, NEW ORLEANS, LA 70131-2221
(183) 256-7044
Mailing address
4202 N I-10 SERVICE RD ., METAIRIE, LA 70006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011253726
LA
Enumeration date
02/12/2019
Last updated
08/22/2023
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