Individual
MR. JEFFREY MICHAEL ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGY
Contact information
Practice address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 222-4299
Mailing address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 222-4299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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