Provider Demographics
NPI:1851869762
Name:HEGWOOD, JARROD THOMAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:JARROD
Middle Name:THOMAS
Last Name:HEGWOOD
Suffix:
Gender:M
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:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:LA
Mailing Address - Zip Code:70754-0273
Mailing Address - Country:US
Mailing Address - Phone:225-242-9434
Mailing Address - Fax:
Practice Address - Street 1:9126 COMAR DR
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-7007
Practice Address - Country:US
Practice Address - Phone:225-664-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6315101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor