Individual
PATSY MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
847 HIGHWAY 154, ATHENS, LA 71003-3103
(318) 278-0256
(318) 263-9703
Mailing address
847 HIGHWAY 154, ATHENS, LA 71003-3103
(318) 278-0256
(318) 263-9703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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