Individual
JORDAN TAYLOR DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT-5725
Contact information
Practice address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 310-2600
Mailing address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 310-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5725
LA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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