Provider Demographics
NPI:1932470184
Name:NORRIS, JAMIE MICHELLE (MS)
Entity Type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:MICHELLE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 BRES AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5915
Mailing Address - Country:US
Mailing Address - Phone:318-322-0037
Mailing Address - Fax:318-398-1680
Practice Address - Street 1:511 BRES AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5915
Practice Address - Country:US
Practice Address - Phone:318-322-0037
Practice Address - Fax:318-398-1680
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health