Individual
LEON C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-BACS
Contact information
Practice address
5200 LAPALCO BLVD, SUITE 2, MARRERO, LA 70072-4254
(504) 417-2274
Mailing address
5901 BACCICH ST, NEW ORLEANS, LA 70122-6411
(504) 417-2274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
02/24/2014
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