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Provider Information for 1942933437


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SARAH KAY JORGE


Sex: Female

NPI: 1942933437
Last Updated: 2022-07-03
Certification Date: 2022-07-03

Details

NameValue
NPI1942933437
Enumeration Date2022-07-03
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 41168 LAKEFRONT AVE
GONZALES, LA 70737-7079
United States

Phone: 504-330-2797 | Fax:
 
Primary Practice Address 41168 LAKEFRONT AVE
GONZALES, LA 70737-7079
United States

Phone: 504-330-2797 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
Desktop
Apple desktop computer
Direct CSV 41168 Lakefront Ave
Gonzales, LA 70737-7079
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthLA7719