Individual
MS. JERRICA PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 COTTONWOOD DR, GRETNA, LA 70056-7805
(504) 689-1544
Mailing address
265 COTTONWOOD DR, GRETNA, LA 70056-7805
(504) 689-1544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10068837
LOUISIANA LICENSE
LA
Enumeration date
06/04/2018
Last updated
07/01/2019
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