Individual
JESSICA FANGUY CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC, LMFT, NCC
Contact information
Practice address
144 VALHI LAGOON XING, HOUMA, LA 70360-3208
(985) 709-0056
Mailing address
144 VALHI LAGOON XING, HOUMA, LA 70360-3208
(985) 709-0056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3199
LA
106H00000X
Marriage & Family Therapist
Primary
1041
LA
Other
Enumeration date
10/04/2007
Last updated
07/12/2023
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