Individual
KA'LYNN ALEXUS JUPITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9428 BROOKLINE AVE, BATON ROUGE, LA 70809-1428
(225) 372-2693
Mailing address
11959 NICHOLSON DR APT 2302, BATON ROUGE, LA 70810-7620
(225) 276-9075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010790741
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
12/31/2018
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