Provider Demographics
NPI:1326288820
Name:WOFFORD, JANA F (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:F
Last Name:WOFFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 FRUGE RD
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-5710
Mailing Address - Country:US
Mailing Address - Phone:337-853-4229
Mailing Address - Fax:337-738-3458
Practice Address - Street 1:181 FRUGE RD
Practice Address - Street 2:
Practice Address - City:KINDER
Practice Address - State:LA
Practice Address - Zip Code:70648-5710
Practice Address - Country:US
Practice Address - Phone:337-853-4229
Practice Address - Fax:337-738-3458
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA222007101YM0800X
LA3263101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3263OtherLICENSED PROFESSIONAL COUNSELOR
LA222007OtherNATIONALLY CERTIFIED COUNSELOR