Individual
MISS JASMINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Mailing address
406 AVENUE B, OAKDALE, LA 71463-3222
(318) 485-1610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
02/22/2017
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