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Jonas Malik Etienne
Mental Health Counselor in Scott, Louisiana
NPI 1992285670

Jonas Malik Etienne is a Mental Health Counselor based in Scott, LA and is specialized in Mental Health. Jonas Malik Etienne practices in Scott, LA. The NPI Number for Jonas Malik Etienne is 1992285670 and holds a License No. 010641193 (Louisiana).

The current practice location address for Jonas Malik Etienne is 124 Abigayle Row, Scott, LA and can be reached out via phone at 337-504-2655.

Location: 124 Abigayle Row, Scott, LA, 70583-8909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992285670
Provider Name
Jonas Malik Etienne
Credential
Provider Entity Type
Individual
Gender
Male
Address
124 Abigayle Row, Scott, LA, 70583-8909
Phone Number
337-504-2655
Fax Number
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JE035 05 LA
institution
Provider Business Practice Location Address Details
Address
124 Abigayle Row
City
Scott
State
Louisiana
Zip
70583-8909
Phone Number
337-504-2655
Fax Number
person
Provider Business Mailing Address Details
Address
124 Abigayle Row
City
Scott
State
Louisiana
Zip
70583-8909
Phone Number
337-504-2655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
010641193 (Louisiana)
Definition
Definition to come...
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