Individual
JASON SHANE SCAMARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8127 BIRCH ST, NEW ORLEANS, LA 70118-2819
(504) 358-8218
Mailing address
8127 BIRCH ST, NEW ORLEANS, LA 70118-2819
(504) 358-8218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8355
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063728491
—
LA
Enumeration date
12/04/2017
Last updated
01/26/2024
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