Individual
MRS. JESSICA MARIE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 446-2936
Mailing address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 446-2936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
7840
LA
101YP2500X
Professional Counselor
7840
LA
Other
Enumeration date
10/29/2019
Last updated
12/22/2022
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