Individual
L'KENDRA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 8TH AVE SE, ROCHESTER, MN 55904-4620
(337) 764-5414
Mailing address
609 WARHAWK WAY APT R1, MONROE, LA 71203-3104
(337) 764-5414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
05/16/2023
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