person
Justin Keith Jetton
Peer Specialist in Shreveport, Louisiana
NPI 1376306936

Justin Keith Jetton is a Peer Specialist based in Shreveport, LA. Justin Keith Jetton practices in Shreveport, LA. The NPI Number for Justin Keith Jetton is 1376306936 and holds a License No. (Louisiana).

The current practice location address for Justin Keith Jetton is 1310 N Hearne Ave, Shreveport, LA and can be reached out via phone at 318-676-5111 and via fax at 318-676-5137.

Location: 1310 N Hearne Ave, Shreveport, LA, 71107-6516
person
Provider Profile Details
NPI Number
1376306936
Provider Name
Justin Keith Jetton
Credential
Provider Entity Type
Individual
Gender
Male
Address
1310 N Hearne Ave, Shreveport, LA, 71107-6516
Phone Number
318-676-5111
Fax Number
318-676-5137
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1310 N Hearne Ave
City
State
Zip
71107-6516
Phone Number
318-676-5111
Fax Number
318-676-5137
person
Provider Business Mailing Address Details
Address
1310 N Hearne Ave
City
State
Zip
71107-6516
Phone Number
318-676-5111
Fax Number
318-676-5137
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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