Individual
SHANTELLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
6351 MAIN ST, ZACHARY, LA 70791-4038
(225) 306-2000
(225) 658-1249
Mailing address
4875 S SHERWOOD FOREST BLVD STE D1, BATON ROUGE, LA 70816-4640
(225) 217-2898
(504) 500-9412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4592
LA
Other
Enumeration date
07/17/2015
Last updated
02/16/2021
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