Individual
DISHAU JEANJACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 TOULOUSE CT, BOSSIER CITY, LA 71111-6266
(504) 444-6783
Mailing address
612 TOULOUSE CT, BOSSIER CITY, LA 71111-6266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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