Individual
MRS. JACQUELINE HOWZE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
139 TAMMY DR, LA PLACE, LA 70068-6474
(985) 210-3015
Mailing address
139 TAMMY DR, LA PLACE, LA 70068-6474
(985) 210-3015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
LA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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