ANDRIA DANIELL JACKSON

BOSSIER CITY, LA
NPI1053851063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-02-24
Last Update Date2021-07-12
Business Address
ANDRIA DANIELL JACKSON
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-259-4676
Mailing Address
ANDRIA DANIELL JACKSON
1616 ARKANSAS RD APT 169
WEST MONROE, LA 71291-7042
Phone number: 210-880-2621