SHANEL S. JACKSON

LAFAYETTE, LA
NPI1356877120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-05-11
Last Update Date2019-05-15
Business Address
SHANEL S. JACKSON M.A.
113 W CONVENT ST
LAFAYETTE, LA 70501
Phone number: 337-534-0770
Mailing Address
SHANEL S. JACKSON M.A.
113 W CONVENT ST
LAFAYETTE, LA 70501-6903
Phone number: 337-534-0770
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