Individual
JEWEL VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 ASBURY DR # A, MANDEVILLE, LA 70471-1842
(985) 674-5155
Mailing address
20660 PETE BUSBY LN, FRANKLINTON, LA 70438-3101
(985) 335-4164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/14/2022
Last updated
01/19/2026
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