Individual
MR. JEROME GREGORY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
(504) 846-6983
Mailing address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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