Individual
JESSICA LYNNE DONAHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
113 W CONVENT ST, LAFAYETTE, LA 70501
(337) 534-0770
Mailing address
113 W CONVENT ST, LAFAYETTE, LA 70501-6903
(337) 534-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
05/14/2019
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