Individual
JO ANN PACK QUINCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11814 MARKET PLACE AVE, BATON ROUGE, LA 70816-6084
(225) 223-6153
(225) 246-2420
Mailing address
12674 PARKWOOD DR, BATON ROUGE, LA 70815-6632
(225) 439-3736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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