Jolissa Johnson Baloney Valid NPI
Individual provider · Mental Health Counselor · Thibodaux, LA
- NPI
- 1295125649
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 6609 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-01-23
- Last updated
- 2020-05-08
Practice location
102 W 2nd St
Thibodaux, LA 70301
(985) 446-5244