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1629754163
HAYDEN ALEXANDER JERNIGAN
JEFFERSON, LA
NPI
1629754163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLC9639)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
HAYDEN ALEXANDER JERNIGAN
4728 JEFFERSON HWY
JEFFERSON, LA 70121-3125
Phone number: 901-505-1669
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Mailing Address
HAYDEN ALEXANDER JERNIGAN
2920 BANKS ST
NEW ORLEANS, LA 70119-7310
Phone number:
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