Jessica Latin's National Provider Identifier (NPI) Details
Jessica Latin, M.A., LPC
NPI: 1578932000
Enumeration Date: 2015-09-15
Last updated: 2019-01-17
Sole Proprietor: YES
Status: active
Postal Address: 1545 LINE AVE, SHREVEPORT, LA
Phone: 318-759-7865
Primary Practice Address: 3541 LAKESIDE DR, SHREVEPORT, LA
Practice's phone: 318-489-3095