JORDAN TAYLOR DUPONT

SORRENTO, LA
NPI1295567741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA  CIT-5725)
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
JORDAN TAYLOR DUPONT CIT-5725
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-310-2600
Mailing Address
JORDAN TAYLOR DUPONT CIT-5725
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-310-2600
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