Individual
JARROD JEROME JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 MURRAY ST, ALEXANDRIA, LA 71301-6890
(318) 443-9035
(318) 443-9037
Mailing address
1605 MURRAY ST, ALEXANDRIA, LA 71301-6890
(318) 443-9035
(318) 443-9037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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