LACREISHA JACKSON

RUSTON, LA
NPI1053189597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-12-14
Last Update Date2023-12-14
Business Address
LACREISHA JACKSON
211 LUNTSFORD LN
RUSTON, LA 71270-5967
Phone number: 918-202-3789
Mailing Address
LACREISHA JACKSON
211 LUNTSFORD LN
RUSTON, LA 71270-5967
Phone number:
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