Individual
MRS. JENNIFER MARIE ISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., NCC,LPC,LMFT
Contact information
Practice address
104 E. EDWARDS, RAYNE, LA 70578
(337) 412-5200
Mailing address
316 VICKSBURG RD, RAYNE, LA 70578-7628
(337) 412-5200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3323
LA
106H00000X
Marriage & Family Therapist
1093
LA
Other
Enumeration date
06/01/2007
Last updated
07/29/2015
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