PANELVIS JACKSON

NEW ORLEANS, LA
NPI1780136663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-10-26
Last Update Date2019-08-07
Business Address
PANELVIS JACKSON
615 BARONNE ST STE 403
NEW ORLEANS, LA 70113-1019
Phone number: 504-814-8001
Mailing Address
PANELVIS JACKSON
5220 FOREST PARK LN
NEW ORLEANS, LA 70131-8583
Phone number: 504-473-5232
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