Individual
JESSICA WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 PHILADELPHIA RD LOT 51, PINEVILLE, LA 71360-0113
(318) 792-7709
Mailing address
174 PHILADELPHIA RD. LOT 51, PINEVILLE, LA 71360
(318) 792-7709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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