Individual
ALLISON NICHOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2903 1ST AVE, LAKE CHARLES, LA 70601-8897
(337) 478-6480
(337) 474-9637
Mailing address
2903 1ST AVE, LAKE CHARLES, LA 70601-8897
(337) 478-6480
(337) 474-9637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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