Individual
JOHNALYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11760 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2374
(225) 284-8671
Mailing address
11760 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2374
(225) 284-8671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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