KRISTIE JACKSON

VIDALIA, LA
NPI1639629454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
-- KRISTIE JACKSON
1644 CARTER ST SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
Mailing Address
-- KRISTIE JACKSON
1644 CARTER ST SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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