Provider Demographics
NPI:1376086470
Name:HAMMETT, JONATHAN
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANAE
Other - Middle Name:
Other - Last Name:HAMMETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:835 PRIDE DR
Mailing Address - Street 2:STE B
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-9527
Mailing Address - Country:US
Mailing Address - Phone:985-453-4333
Mailing Address - Fax:
Practice Address - Street 1:835 PRIDE DR
Practice Address - Street 2:STE B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-9527
Practice Address - Country:US
Practice Address - Phone:985-453-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor