Latin, Jessica L.

Latin, Jessica L. is an sole proprietor health care provider with primary practice located at 1545 Line Ave , Shreveport LA 71101-4600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Latin, Jessica L. can be contacted via phone (318) 759-7865.

Contact Information

Primary practice address
1545 Line Ave Shreveport LA 71101-4600
Phone: (318) 759-7865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC5981 Louisiana

Profile Details

NPI number 1578932000
LBN Legal business name Latin, Jessica L.
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2015
Last updated Jan 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578932000 NPPES
Louisiana MEDICAID 1710083

Popular Providers