Individual
MS. JESSICA FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CIT
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
(318) 345-7123
Mailing address
1900 N 18TH ST STE 220, MONROE, LA 71201-4432
(318) 243-4292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/23/2015
Last updated
08/10/2023
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