Individual
LAWANNA MARLETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 884-2959
Mailing address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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