Individual
MRS. JENEA RONIQUE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-6400
Mailing address
187 MANDY RD, OPELOUSAS, LA 70570-2491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
01/21/2019
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