MELVIN JACKSON

VILLE PLATTE, LA
NPI1578924551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-03-17
Last Update Date2016-03-17
Business Address
-- MELVIN JACKSON
1018 CAMPBELL AVE
VILLE PLATTE, LA 70586-8555
Phone number: 337-459-4209
Mailing Address
-- MELVIN JACKSON
1018 CAMPBELL AVE
VILLE PLATTE, LA 70586-8555
Phone number: 337-459-4209
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