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Contact Information

JEFFREY M ATENCIO, MA PSYCHOLOGY
1504 BARKSDALE BLVD
BOSSIER CITY, LA71111-4602
 Phone: 318-222-4299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JEFFREY M ATENCIO · (Male)

NPI Number 1588224166
Status Active
Credentials MA PSYCHOLOGY
Entity Individual
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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