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Avery Jack
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1215411343

Avery Jack is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Avery Jack practices in Baton Rouge, LA. The NPI Number for Avery Jack is 1215411343 and holds a License No. (Louisiana).

The current practice location address for Avery Jack is 9420 Lindale Ave Ste B, Baton Rouge, LA and can be reached out via phone at 225-442-3540.

Location: 9420 Lindale Ave Ste B, Baton Rouge, LA, 70815-4161
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Provider Profile Details
NPI Number
1215411343
Provider Name
Avery Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
9420 Lindale Ave Ste B, Baton Rouge, LA, 70815-4161
Phone Number
225-442-3540
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9420 Lindale Ave Ste B
City
State
Zip
70815
Phone Number
225-442-3540
Fax Number
person
Provider Business Mailing Address Details
Address
9420 Lindale Ave Ste B
City
State
Zip
70815
Phone Number
225-442-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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