Most Relevant Information
Provider Data
| NPI Number: | 1003388745 |
| Provider Name: | JESSICA LOUISE MAXWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6427 |
Most Important Dates
| Enumeration Date: | 12/19/2018 |
| Last Updated: | 12/19/2018 |
Provider Practice Location
10001 LAKE FOREST BLVD STE 404
NEW ORLEANS
LA
701276201
Practice Location Phone/Fax
| Phone: | 5048215220 |
| Fax: |
Provider Mailing Location
7922 GREEN ST
NEW ORLEANS
LA
701184117
Provider Mailing Phone/Fax
| Phone: | 2147630068 |
| Fax: |