Individual
JERRIE MILES BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13910 ALBA DR, BAKER, LA 70714-4616
(225) 931-0630
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1365
LA
Other
Enumeration date
11/23/2021
Last updated
11/25/2024
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