CHANTALYN JACKSON

AMITE, LA
NPI1932651387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-02
Last Update Date2016-11-02
Business Address
-- CHANTALYN JACKSON
104 SASSAFRAS ST
AMITE, LA 70422-3425
Phone number: 225-644-8565
Mailing Address
-- CHANTALYN JACKSON
104 SASSAFRAS ST
AMITE, LA 70422-3425
Phone number: 225-644-8565
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