Individual
MOIRA MACQUEEN CONLEY-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
6057 CHATEAU LOIRE CT, MANDEVILLE, LA 70448-7079
(909) 559-8148
Mailing address
6057 CHATEAU LOIRE CT, MANDEVILLE, LA 70448-7079
(909) 559-8148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC38902
CA
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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