JOHNELL CALVIN JACKSON

NEW ORLEANS, LA
NPI1528568672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-02-15
Last Update Date2018-02-15
Business Address
Mr. JOHNELL CALVIN JACKSON
3501 CAESAR DR
NEW ORLEANS, LA 70114-9211
Phone number: 504-505-8864
Mailing Address
Mr. JOHNELL CALVIN JACKSON
3501 CAESAR DR
NEW ORLEANS, LA 70114-9211
Phone number: 504-505-8864
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