Individual
MRS. JENNIFER LOUISE CELIUS-WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
3630 MACARTHUR BLVD STE C, NEW ORLEANS, LA 70114-6871
(504) 535-3210
(504) 484-0555
Mailing address
3630 MACARTHUR BLVD STE C, NEW ORLEANS, LA 70114-6871
(504) 535-3210
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011405307
DRIVER LICENSE NUMBER
LA
Enumeration date
09/20/2017
Last updated
06/16/2018
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