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Individual

JEROME HOLMES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4134 FLORIDA AVE STE 101, KENNER, LA 70065-2190
(504) 441-5555
(504) 441-5550
Mailing address
4134 FLORIDA AVENUE, SUITE 101, KENNER, LA 70065
(504) 441-5555
(504) 441-5550

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
PASTORAL COUNSELOR
LA
Enumeration date
10/19/2015
Last updated
07/21/2022
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