Individual
HAYDEN ALEXANDER JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4728 JEFFERSON HWY, JEFFERSON, LA 70121-3125
(901) 505-1669
Mailing address
2920 BANKS ST, NEW ORLEANS, LA 70119-7310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9639
LA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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