Individual
MRS. JENNIFER ANN MCCLASKEY JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAED/ES, BSW
Contact information
Practice address
1141 WHITNEY AVE, BUILDING 4, GRETNA, LA 70056-5011
(972) 391-4084
Mailing address
3320 WALL BLVD APT 12-301, GRETNA, LA 70056-7779
(562) 676-6988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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