Individual
JEANIE WOOLLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
116 E CANAL ST, PICAYUNE, MS 39466-4500
(504) 628-4882
Mailing address
32 PATRICE RD, PICAYUNE, MS 39466-8159
(504) 628-4882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3235
MS
Other
Enumeration date
11/18/2014
Last updated
12/15/2025
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