Jessica Duncan

Individual provider Active NPI Mental Health Counselor · Baker, LA

NPI 1790293132 · NPPES record last updated Jan 19, 2018

Key facts

NPI
1790293132
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2944 Ray Weiland Dr
Baker, LA 70714-3250
Phone
(225) 636-2638
Fax
(225) 778-5068
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2944 Ray Weiland Dr
Baker, LA 70714-3250

Mailing address

1805 Landry Dr
Baker, LA 70714-2145
Phone (225) 620-9531

Other providers in Baker, LA

All providers in Baker, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.