CHELSA T JACKSON

SHREVEPORT, LA
NPI1619340981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-11-08
Last Update Date2020-09-04
Business Address
CHELSA T JACKSON
2504 RIDGE LAKE DR
SHREVEPORT, LA 71109-3020
Phone number: 318-518-1174
Mailing Address
CHELSA T JACKSON
2504 RIDGE LAKE DR
SHREVEPORT, LA 71109-3020
Phone number:
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