Individual
JIMMY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 EDWARDS ST, 108, SHREVEPORT, LA 71101-3657
(318) 990-1226
Mailing address
719 EDWARDS ST, 108, SHREVEPORT, LA 71101-3657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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