Individual
JENNIFER LORASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28552 SHADY DAY DR, PONCHATOULA, LA 70454-2851
(318) 381-3124
Mailing address
28552 SHADY DAY DR, PONCHATOULA, LA 70454-2851
(318) 381-3124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5474
LA
101YP2500X
Professional Counselor
Primary
5474
LA
Other
Enumeration date
02/07/2014
Last updated
02/26/2026
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