Individual
JENNIFER ROGERS JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6009 FINANCIAL PLZ STE 105, SHREVEPORT, LA 71129-2615
(318) 670-8858
Mailing address
6009 FINANCIAL PLZ STE 105, SHREVEPORT, LA 71129-2615
(318) 670-8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160699
—
LA
Enumeration date
04/15/2019
Last updated
04/15/2019
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