Individual
JENNA BOGACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 LAWRENCE ST, NEW ORLEANS, LA 70114-3013
(504) 708-8196
Mailing address
2701 LAWRENCE ST, NEW ORLEANS, LA 70114-3013
(504) 708-8196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
9574
LA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/28/2012
Last updated
05/06/2024
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