LATOYA JACKSON

MONROE, LA
NPI1558030205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT-5095)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
LATOYA JACKSON
4108 HARVEY ST
MONROE, LA 71203-5746
Phone number: 318-473-5373
Mailing Address
LATOYA JACKSON
4108 HARVEY ST
MONROE, LA 71203-5746
Phone number: 318-473-5373
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