LAPORTIA JACQUELINE JACKSON

CABOT, AR
NPI1881352896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AR  P2311008)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: AR  AR2108022)
Enumeration Date2021-12-07
Last Update Date2023-11-22
Business Address
LAPORTIA JACQUELINE JACKSON LPC
3358 S 2ND ST STE A-C
CABOT, AR 72023-7873
Phone number: 501-286-6053
Mailing Address
LAPORTIA JACQUELINE JACKSON LPC
2809 FOREST HOME RD
JONESBORO, AR 72401-5320
Phone number: 866-972-1268