Individual
MS. JERELYN LYNNE YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 925-6196
Mailing address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 925-6196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 887
LA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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