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Jessica Rene Griffin

Counselor in Zachary, LA. Individual provider (NPI-1).

NPI number1104353218
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1104353218
Entity type
Individual (NPI-1)
Name
Jessica Rene Griffin
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2017
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor11057LAYes

Practice location

6676 Lakeridge Drive
Zachary, LA 70791

Phone 225-772-5322

Mailing address

6676 Lakeridge Drive
Zachary, LA 70791

Phone 225-772-5322

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