Most Relevant Information
Provider Data
| NPI Number: | 1003339540 |
| Provider Name: | JASON ASA GOENS MS, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6246 |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 10/16/2018 |
Provider Practice Location
4606 LEE ST
ALEXANDRIA
LA
713023235
Practice Location Phone/Fax
| Phone: | 3186648293 |
| Fax: |
Provider Mailing Location
150 CRAIG RD
PINEVILLE
LA
713606331
Provider Mailing Phone/Fax
| Phone: | 3186648293 |
| Fax: |