Individual
JESSICA DOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 JACKSON ST STE B, ALEXANDRIA, LA 71303-2595
(318) 265-7434
Mailing address
238 WYATT RD, LEESVILLE, LA 71446-6480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10503
LA
Other
Enumeration date
01/09/2025
Last updated
03/30/2025
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