Individual
JEANECA RAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
1141 WHITNEY AVE, GRETNA, LA 70056-5011
(504) 347-1120
Mailing address
1400 SEMMES ST, NEW ORLEANS, LA 70114-6193
(504) 367-3448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/14/2021
Last updated
07/20/2022
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