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1023563178
JALISSA JOHNSON
ALEXANDRIA, LA
NPI
1023563178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
-- JALISSA JOHNSON
2503 10TH ST
ALEXANDRIA, LA 71302-5929
Phone number: 318-880-8370
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Mailing Address
-- JALISSA JOHNSON
2503 10TH ST
ALEXANDRIA, LA 71302-5929
Phone number:
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