Individual
JESSICA WORMSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 AUDUBON ST, NEW ORLEANS, LA 70125-4118
(251) 623-0703
Mailing address
2304 AUDUBON ST, NEW ORLEANS, LA 70125-4118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6474
LA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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