ASHANTI JACKSON

SHREVEPORT, LA
NPI1952837452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-05-04
Last Update Date2018-04-25
Business Address
ASHANTI JACKSON M.S., M.Ed.
2924 KNIGHT ST STE 426
SHREVEPORT, LA 71105-2414
Phone number: 318-754-3560
Mailing Address
ASHANTI JACKSON M.S., M.Ed.
PO BOX 342
BETHANY, LA 71007-0342
Phone number:
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