TALISHA JACKO

LAKE CHARLES, LA
NPI1760857700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2015-12-02
Last Update Date2018-06-01
Business Address
TALISHA JACKO
840 W BAYOU PINES DR SUITE B
LAKE CHARLES, LA 70601
Phone number: 337-491-1740
Mailing Address
TALISHA JACKO
840 W BAYOU PINES DR SUITE B
LAKE CHARLES, LA 70601-7495
Phone number: 337-491-1740
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