CHARISSA JACKSON

LITTLE ROCK, AR
NPI1184031445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101Y00000X Counselor
Enumeration Date2014-07-18
Last Update Date2014-07-18
Business Address
-- CHARISSA JACKSON
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
Mailing Address
-- CHARISSA JACKSON
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686