Provider Demographics
NPI:1164878005
Name:JEWITT, BRITTANY (BS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:JEWITT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2453
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-2453
Mailing Address - Country:US
Mailing Address - Phone:318-214-4002
Mailing Address - Fax:318-214-4004
Practice Address - Street 1:830 4TH ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-4569
Practice Address - Country:US
Practice Address - Phone:318-214-4002
Practice Address - Fax:318-214-4004
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor