Provider Demographics
NPI:1013393149
Name:ALVENDIA, JESSICA KILLGORE (MS, LPC-S, NCC, CT)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:KILLGORE
Last Name:ALVENDIA
Suffix:
Gender:F
Credentials:MS, LPC-S, NCC, CT
Other - Prefix:
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Mailing Address - Street 1:6612 CANAL BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3212
Mailing Address - Country:US
Mailing Address - Phone:504-322-9374
Mailing Address - Fax:504-534-5995
Practice Address - Street 1:6612 CANAL BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3212
Practice Address - Country:US
Practice Address - Phone:504-650-1585
Practice Address - Fax:504-534-5995
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA5855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional