Individual
JACINDA MARIE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT1261
LA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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