Individual
LASHONDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SUSIE WAY, TROY, AL 36079-3083
(334) 492-1045
Mailing address
109 SUSIE WAY, TROY, AL 36079-3083
(334) 492-1045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AL
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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