Individual provider · Type 1 NPI

Jolissa Johnson Baloney

Mental Health Counselor · Thibodaux, LA

NPI number 1295125649 Active

Practice location

102 W 2nd St
Thibodaux, LA 70301

Fax (985) 446-5478

Other practice locations

  • 425 Huey P Long Ave, Gretna, LA 70053-5917 · (504) 906-5457

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000X009318389 (LA)
Mental Health Counselor Primary 101YM0800X6609 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1295125649

Jolissa Johnson Baloney's National Provider Identifier is 1295125649, issued on Jan 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thibodaux, LA. The record was last updated on May 8, 2020.