Provider Demographics
NPI:1639212087
Name:HACKLER, JENNIFER JANICE (LPC, ATR)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JANICE
Last Name:HACKLER
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 URSULINE DR.
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4766
Mailing Address - Country:US
Mailing Address - Phone:415-676-8376
Mailing Address - Fax:
Practice Address - Street 1:502 URSULINE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4766
Practice Address - Country:US
Practice Address - Phone:415-676-8376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor