Jennifer Derrick
Counselor, Mental Health in Shreveport, LA. Individual provider (NPI-1).
NPI number1013676741
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1013676741
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Derrick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2021
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
7330 Fern Ave Ste 1003Shreveport, LA 71105-4988
Phone 318-759-7876
Mailing address
7330 Fern Ave Ste 1003Shreveport, LA 71105-4988
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All 741 Mental Health Counselor providers in Shreveport · All 11,081 providers in Shreveport
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