Individual
JAKIA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3172 TOUCHWOOD DR, HARVEY, LA 70058-1625
(504) 872-4462
Mailing address
2960 MOUNT KENNEDY DR, MARRERO, LA 70072-5229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922530021
—
LA
Enumeration date
03/29/2017
Last updated
01/04/2023
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