AUDREA KELLAR JACKSON

BATON ROUGE, LA
NPI1346763463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2017-07-20
Last Update Date2022-07-21
Business Address
AUDREA KELLAR JACKSON
3888 S SHERWOOD FOREST BLVD STE F
BATON ROUGE, LA 70816
Phone number: 225-771-8251
Mailing Address
AUDREA KELLAR JACKSON
3888 S SHERWOOD FOREST BLVD STE F
BATON ROUGE, LA 70816-4400
Phone number: 225-771-8251
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