Individual
JESSICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S HIGHLAND DR, MANY, LA 71449-3719
(318) 256-5200
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(336) 473-1184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
11/10/2020
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