Individual
DONNA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 CROWDER BLVD STE E, NEW ORLEANS, LA 70127-1077
(504) 823-4989
(504) 831-7712
Mailing address
PO BOX 7792, METAIRIE, LA 70010-7792
(504) 944-2012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
04/27/2009
Last updated
03/09/2020
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