Individual
JESSICA GIBSON KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1318 CAMELLIA BLVD STE 311, LAFAYETTE, LA 70508-6766
(337) 257-7195
Mailing address
311 MILL POND DR, YOUNGSVILLE, LA 70592-5655
(337) 257-7195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6506
LA
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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