KERMIT JACKSON

BATON ROUGE, LA
NPI1568827228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-12-23
Last Update Date2018-07-03
Business Address
KERMIT JACKSON
862 ONEAL LN
BATON ROUGE, LA 70816
Phone number: 225-362-4539
Mailing Address
KERMIT JACKSON
862 ONEAL LN
BATON ROUGE, LA 70816-1874
Phone number: 225-362-4539
Similar providers in Baton Rouge, LA
TESIA M BURTON
VERRICHA STEWART
ALISON M BROUSSARD
BERGANDI KHRYSTOLE MAE PERRIN
STACI MITCHELL
CHRISTINA SHENNEL BRIDGETT
SHARON JEFFERSON
KATINA HEAD
JASMINE WHITE
ERIC ESCOBAR