Individual
JERRELDA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4718 PARIS AVE, NEW ORLEANS, LA 70122-2553
(504) 247-6519
Mailing address
PO BOX 870362, NEW ORLEANS, LA 70187-0362
(504) 247-6519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
13913
LA
Other
Enumeration date
12/03/2012
Last updated
11/21/2023
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