PHYLLIS JACKSON

BATON ROUGE, LA
NPI1033665666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-01
Last Update Date2016-11-10
Business Address
-- PHYLLIS JACKSON
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
Mailing Address
-- PHYLLIS JACKSON
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
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