Individual
MRS. JESSICA S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22532 HIGHWAY 1088, MANDEVILLE, LA 70448-8450
(985) 705-7736
Mailing address
528 RUELLE CT, MADISONVILLE, LA 70447-3182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4595
LA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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