Individual
JACKIE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 ONEAL LN, BATON ROUGE, LA 70816-1874
(225) 275-3039
Mailing address
862 ONEAL LN, BATON ROUGE, LA 70816-1874
(225) 275-3039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
10/02/2015
Last updated
05/02/2019
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