RAVEN JACKSON

MONROE, LA
NPI1942745823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-12-30
Last Update Date2018-06-08
Business Address
RAVEN JACKSON
4951 CENTRAL AVENUE
MONROE, LA 71203
Phone number: 318-340-1535
Mailing Address
RAVEN JACKSON
850 KALISTE SALOOM RD STE 117
LAFAYETTE, LA 70508-4230
Phone number: 337-234-7109
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