Individual provider · Type 1 NPI

Justin Keith Jetton

Peer Specialist · Shreveport, LA

NPI number 1376306936 Active

Practice location

1310 N Hearne Ave
Shreveport, LA 71107-6516

Fax (318) 676-5137

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1376306936

Justin Keith Jetton's National Provider Identifier is 1376306936, issued on Feb 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shreveport, LA. The record was last updated on Feb 7, 2024.