Individual
MRS. JACKIE DENESE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC-S, LMFT
Contact information
Practice address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-6900
(225) 831-4998
(225) 831-4997
Mailing address
5154 FAULKNER DR, DARROW, LA 70725-2525
(225) 574-4752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2935
LA
101YP2500X
Professional Counselor
77206
TX
106H00000X
Marriage & Family Therapist
858
LA
Other
Enumeration date
08/30/2006
Last updated
08/06/2020
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