Doctor Name: | JADA LEIGH ACREE |
NPI Number: | 1003930348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 8298 |
Business Practice Address: | 2100 Oliver Rd Monroe, LA - 712013628 |
Business Phone Number: | 3183299455 |
Business Fax Number: | 3183299492 |
Mailing Address: | 407 Kendall Ridge Dr, WEST MONROE |
State: | LA |
Postal Code: | 712922465 |
Phone Number: | 3183978416 |
Fax Number: | 3183299492 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |