DLISA JACKSON

NEW ORLEANS, LA
NPI1952886939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-09-26
Last Update Date2018-09-26
Business Address
DLISA JACKSON
200 S BROAD ST STE 7
NEW ORLEANS, LA 70119-6447
Phone number: 504-205-3355
Mailing Address
DLISA JACKSON
140 LEIGH LN
MONTZ, LA 70068-8968
Phone number: 504-205-3355
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