Individual
FELICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 N 3RD ST, MONROE, LA 71201-5844
(318) 325-8782
(318) 325-8749
Mailing address
908 N 3RD ST, MONROE, LA 71201-5844
(318) 325-8782
(318) 325-8749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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