Individual
TOMEKA BENNETT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC 7281
Contact information
Practice address
73 PINEHURST DR, NEW ORLEANS, LA 70131-3354
(504) 444-1165
Mailing address
73 PINEHURST DR, NEW ORLEANS, LA 70131-3354
(504) 444-1165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7281
LA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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