JAMES JACKSON

LAKE PROVIDENCE, LA
NPI1417406380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- JAMES JACKSON
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551
Mailing Address
-- JAMES JACKSON
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551
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