Individual
JENNIFER LYNN DITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC-S
Contact information
Practice address
117 S TRENTON ST, RUSTON, LA 71270
(414) 403-9281
Mailing address
5976 NEW NATCHITOCHES RD, WEST MONROE, LA 71292-1289
(414) 403-9281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4700
LA
Other
Enumeration date
07/11/2011
Last updated
06/27/2018
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