TROY A JACKSON

SHREVEPORT, LA
NPI1982146668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-11-10
Last Update Date2019-01-17
Business Address
Mr. TROY A JACKSON
1513 LINE AVE SUITE 222
SHREVEPORT, LA 71107-6503
Phone number: 318-208-8908
Mailing Address
Mr. TROY A JACKSON
1513 LINE AVE SUITE 222
SHREVEPORT, LA 71101-6503
Phone number: 318-208-8908
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