LAVILA JACKSON

WASHINGTON, DC
NPI1639855836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
251S00000X Community/Behavioral Health
Enumeration Date2023-06-23
Last Update Date2023-07-26
Business Address
LAVILA JACKSON
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
LAVILA JACKSON
6246 HEATHER GLEN WAY
CLARKSVILLE, MD 21029-1175
Phone number: 443-852-7036