JOSEPH JACKSON

NEW ORLEANS, LA
NPI1750749206
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1247)
Enumeration Date2016-01-28
Last Update Date2016-01-28
Business Address
-- JOSEPH JACKSON
3801 CANAL ST
NEW ORLEANS, LA 70119-6082
Phone number: 504-250-6976
Mailing Address
-- JOSEPH JACKSON
3801 CANAL ST
NEW ORLEANS, LA 70119-6082
Phone number: 504-250-6976