Individual provider · Type 1 NPI
Charles G. Jacques Iii, LPC, LMT, LMFT
Mental Health Counselor · Baton Rouge, LA
NPI number
1083815583
Active
Practice location
8017 Jefferson Hwy Ste A3
Baton Rouge, LA 70809-1681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 200 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1083815583
Charles G. Jacques Iii, LPC, LMT, LMFT's National Provider Identifier is 1083815583, issued on May 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2007.