Individual
JOAN JURISICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
913 S COLLEGE RD, LAFAYETTE, LA 70503-3060
(337) 534-8140
Mailing address
811 S MICHOT DR, LAFAYETTE, LA 70508-6445
(337) 298-4224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5900
LA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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