Individual
DR. JEREMY LUCAS BLUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MTH, PSY.D
Contact information
Practice address
11616 SOUTHFORK AVE STE 400, BATON ROUGE, LA 70816-5241
(225) 955-4971
Mailing address
11616 SOUTHFORK AVE STE 400, BATON ROUGE, LA 70816-5241
(225) 955-4971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
JB722337
LA
Other
Enumeration date
08/24/2017
Last updated
11/28/2021
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