| Jonas Malik Etienne, | |
|
124 Abigayle Row, Scott, LA 70583-8909 | |
| (337) 504-2655 | |
| Not Available |
| Full Name | Jonas Malik Etienne |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 124 Abigayle Row, Scott, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992285670 | NPI | - | NPPES |
| JE035 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 010641193 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonas Malik Etienne, 124 Abigayle Row, Scott, LA 70583-8909 Ph: (337) 504-2655 | Jonas Malik Etienne, 124 Abigayle Row, Scott, LA 70583-8909 Ph: (337) 504-2655 |
Ms. Jamie Marie Castille, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Westward Ave, Scott, LA 70583 Phone: 337-349-7238 | |
Claire Hebert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Delhomme Ave, Scott, LA 70583 Phone: 337-371-0070 | |
Mary Frank, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Abigayle Row, Scott, LA 70583 Phone: 337-504-2655 | |
Ms. Nicole Diaul Beasley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Abigayle Row, Scott, LA 70583 Phone: 337-504-2655 | |
Kizzalon Raymond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Abigayle Row, Scott, LA 70583 Phone: 337-504-2655 | |
Mr. Curtis Aaron Edwards, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 Alfred St, Scott, LA 70583 Phone: 337-534-5761 Fax: 888-793-1615 | |
Lillian Wiser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 Pitt Rd, Scott, LA 70583 Phone: 231-487-8451 |