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Individual

JESSINA MOETTE FELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 S SHERWOOD FOREST BLVD STE 201, BATON ROUGE, LA 70816-0008
(225) 402-2436
Mailing address
38105 POST OFFICE RD STE 8, PRAIRIEVILLE, LA 70769-4296
(225) 402-2436
(225) 302-5825

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/02/2017
Last updated
04/08/2022
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