Individual
ERANICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
(337) 437-8283
Mailing address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
(337) 437-8283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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