Provider Demographics
NPI:1750673257
Name:MEYERS, JACQUELINE LEE (PHD, LPC-S, LAC)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:LEE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:PHD, LPC-S, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S. NORMAN C. FRANCIS PKWY SUITE 307
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125
Mailing Address - Country:US
Mailing Address - Phone:504-810-5310
Mailing Address - Fax:504-553-1154
Practice Address - Street 1:1050 S. NORMAN C. FRANCIS PKWY
Practice Address - Street 2:SUITE 307
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125
Practice Address - Country:US
Practice Address - Phone:504-810-5310
Practice Address - Fax:504-553-1154
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor