Individual
JONEEDRA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-3207
(337) 534-0254
Mailing address
105 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-3207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
12/12/2018
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