Individual
JACQUELINE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 473-4328
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(318) 473-4328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
02/26/2021
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