Individual
JACQUELYN LEE HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
Mailing address
107 SPANISH OAK DR, CARENCRO, LA 70520-5778
(337) 255-5313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6940
LA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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