Individual
JESSICA CROCHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
Mailing address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 425-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
09/03/2019
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