Individual
LAUREN JETTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2323 OLD MINDEN RD, BOSSIER CITY, LA 71112-2305
(318) 584-7166
Mailing address
1513 LINE AVE STE 225, SHREVEPORT, LA 71101-4621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6870
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/26/2017
Last updated
02/12/2019
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