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Individual

DARRELL JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
290 CORNWELL DR, GRAMBLING, LA 71245-2436
(318) 278-5281
Mailing address
290 CORNWELL DR, GRAMBLING, LA 71245-2436

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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