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1750749206
JOSEPH JACKSON
NEW ORLEANS, LA
NPI
1750749206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1247)
Enumeration Date
2016-01-28
Last Update Date
2016-01-28
Business Address
-- JOSEPH JACKSON
3801 CANAL ST
NEW ORLEANS, LA 70119-6082
Phone number: 504-250-6976
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Mailing Address
-- JOSEPH JACKSON
3801 CANAL ST
NEW ORLEANS, LA 70119-6082
Phone number: 504-250-6976
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