KATRECE SHANTELLE JACKSON

MONROE, LA
NPI1497507420
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT5775)
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
KATRECE SHANTELLE JACKSON
1401 HUDSON LN STE 202
MONROE, LA 71201-6032
Phone number: 318-323-1300
Mailing Address
KATRECE SHANTELLE JACKSON
1401 HUDSON LN STE 202
MONROE, LA 71201-6032
Phone number: 318-323-1300
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