Lisa Jack
Lisa Jack is a Mental Health Counselor in Mamou, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
613 E StMamou, LA 70554
Phone: (337) 655-1132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1942739404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2017 |
| Last updated in NPPES | June 14, 2018 |
| Mailing address | 613 East St, Mamou, LA 70554-3911 |