Individual
JOMEL PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 COMMERCIAL DR STE 2, HAMMOND, LA 70403-5972
(985) 956-7560
Mailing address
1126 COMMERCIAL DR STE 2, HAMMOND, LA 70403-5972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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