Individual
MS. JACQUELYN MARIE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 N PRATER ST, LAKE CHARLES, LA 70601-2649
(337) 439-0886
(337) 439-0887
Mailing address
2802 PINEVIEW ST, LAKE CHARLES, LA 70615-2063
(337) 497-0233
(337) 439-5029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4328
TX
104100000X
Social Worker
05666
TX
104100000X
Social Worker
Primary
7564
LA
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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