DEAQUANITA SHEHALORENZA JACKSON

SHREVEPORT, LA
NPI1053828566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-01-05
Last Update Date2018-01-05
Business Address
DEAQUANITA SHEHALORENZA JACKSON
2800 YOUREE DR STE 301
SHREVEPORT, LA 71104-3660
Phone number: 318-210-0928
Mailing Address
DEAQUANITA SHEHALORENZA JACKSON
2800 YOUREE DR STE 301
SHREVEPORT, LA 71104-3660
Phone number: 318-210-0928