Individual
JARED IAN ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
BRENT HOUSE, 1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4025
Mailing address
BRENT HOUSE, 1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1554
LA
Other
Enumeration date
05/05/2015
Last updated
06/03/2020
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