DESTINY JACKSON

SHREVEPORT, LA
NPI1184171100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
DESTINY JACKSON M.A., PLPC, PLMFT
3341 YOUREE DR 101
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4171
Mailing Address
DESTINY JACKSON M.A., PLPC, PLMFT
6129 WINCANTON DR
SHREVEPORT, LA 71129-3908
Phone number:
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