Individual
KIMBERLY SHERRELL JOLIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 LAFOURCHE AVE, RUSTON, LA 71270-5260
(337) 501-5455
Mailing address
3105 LAFOURCHE AVE, RUSTON, LA 71270-5260
(337) 501-5455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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