Provider Demographics
NPI:1770799546
Name:STURM-MEXIC, JANNETTE SUE (PHD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:JANNETTE
Middle Name:SUE
Last Name:STURM-MEXIC
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3525 PRYTANIA ST
Mailing Address - Street 2:SUITE 512
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3500
Mailing Address - Country:US
Mailing Address - Phone:504-896-1000
Mailing Address - Fax:504-896-1055
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 512
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-896-1000
Practice Address - Fax:504-896-1055
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA2909101YP2500X
LA836106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist