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Individual

MRS. JESSICA BARQUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 PALM VILLA DR APT 1, THIBODAUX, LA 70301
(985) 860-8809
Mailing address
400 POND DR, THIBODAUX, LA 70301-8442
(985) 860-8809

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA
101YS0200X
School Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/09/2016
Last updated
09/04/2018
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