Individual
JACQUELINE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA COUNSELOR
Contact information
Practice address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 636-2945
Mailing address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 636-2945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
12/02/2016
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