Provider Demographics
NPI:1053072116
Name:WILLIAMSON, JENNIFER ALAINE DAWSON (LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ALAINE DAWSON
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 PICKETT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3966
Mailing Address - Country:US
Mailing Address - Phone:225-800-2236
Mailing Address - Fax:
Practice Address - Street 1:668 S FOSTER DR STE 102
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5945
Practice Address - Country:US
Practice Address - Phone:225-800-2236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-31
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health