Search › Louisiana › 363LA2100X
Jo Bennett, ACNPC-AG
NPI 1740687334 · on the registry since 2014
Practice
- Address
- 1401 Louisa St
Rayville, LA 71269 - Phone
- (318) 334-5825
- Fax
- (318) 301-6826
- Organisation at this address
- Peacock Addiction Treatment & Healing (Path) Center Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1162 Oliver Rd Ste 4, Monroe, LA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana