Individual
DEBRA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 LAURICELLA AVE, JEFFERSON, LA 70121-1711
(504) 450-9500
Mailing address
601 LAURICELLA AVE, JEFFERSON, LA 70121-1711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
7672
LA
Other
Enumeration date
05/11/2017
Last updated
01/02/2019
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