Individual
MRS. JACQUELINE REYNOLDS OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
281 W 4TH ST, INDEPENDENCE, LA 70443-2386
(985) 878-0066
Mailing address
281 W 4TH ST, INDEPENDENCE, LA 70443-2386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3858
LA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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