RICHARD JACKSON

SHREVEPORT, LA
NPI1306323241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-07-24
Last Update Date2018-10-01
Business Address
Mr. RICHARD JACKSON
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-626-5597
Mailing Address
Mr. RICHARD JACKSON
1004 VAN BUREN DR
JONESBORO, LA 71251-2222
Phone number: 318-480-9517
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