Individual
MR. JERRY KINCHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 POLK ST, MANSFIELD, LA 71052-2452
(225) 757-5845
Mailing address
10732 S MALL DR APT 625, BATON ROUGE, LA 70809-4817
(337) 516-6663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC8335
LA
Other
Enumeration date
03/27/2018
Last updated
03/05/2024
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