Individual
SENETRA JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
Mailing address
1168 CHES BROUSSARD RD, BREAUX BRIDGE, LA 70517-7227
(337) 326-6127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8566
LA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467745000
NPI NUMBER
LA
05
—
1467745000
—
LA
Enumeration date
05/04/2016
Last updated
07/30/2024
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