Individual
JESSICA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 768-2541
Mailing address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 768-2541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7675
LA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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