Individual
MRS. JESSICA S. AUSTON-POPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
714 NORTH WASHINGTON STREET, SUITE 100, BASTROP, LA 71220
(318) 814-8801
(318) 300-1169
Mailing address
714 NORTH WASHINGTON STREET, SUITE 100, BASTROP, LA 71220
(318) 814-8801
(318) 300-1169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6236
LA
104100000X
Social Worker
—
LA
Other
Enumeration date
03/01/2016
Last updated
12/03/2018
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