Individual
JENNIFER KATHLEEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 VETERANS MEMORIAL BLVD, STE 305, METAIRIE, LA 70005-2852
(504) 355-6107
Mailing address
213 AMELIA ST, DESTREHAN, LA 70047-5349
(504) 355-6107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1554
MS
101YP2500X
Professional Counselor
Primary
5163
LA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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