Individual
JILLIAN GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10386
LA
1041S0200X
School Social Worker
10386
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699107235
NPI
LA
Enumeration date
08/06/2013
Last updated
09/02/2015
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