Individual
JANESSA TALENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
03/07/2019
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