Provider Demographics
NPI:1407227325
Name:SEAUX, JASON PAUL
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:PAUL
Last Name:SEAUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 KNIGHT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2538
Mailing Address - Country:US
Mailing Address - Phone:318-221-8244
Mailing Address - Fax:318-221-1995
Practice Address - Street 1:3007 KNIGHT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2538
Practice Address - Country:US
Practice Address - Phone:318-221-8244
Practice Address - Fax:318-221-1995
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor