Individual
JESSICA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8888 JEFFERSON HWY STE B, BATON ROUGE, LA 70809-2427
(985) 981-9642
Mailing address
11413 ASHWOOD CT, DENHAM SPRINGS, LA 70726-6492
(985) 981-9642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT1382
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/20/2020
Last updated
01/28/2022
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