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1982088175
SHANTELLE JACOBS
ZACHARY, LA
NPI
1982088175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4592)
Enumeration Date
2015-07-17
Last Update Date
2021-02-16
Business Address
SHANTELLE JACOBS LPC-S
6351 MAIN ST
ZACHARY, LA 70791-4038
Phone number: 225-306-2000
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Mailing Address
SHANTELLE JACOBS LPC-S
4875 S SHERWOOD FOREST BLVD STE D1
BATON ROUGE, LA 70816-4640
Phone number: 225-217-2898
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