Individual
DESIREE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 W OLIVE ST APT 31, WEST MONROE, LA 71292-6400
(318) 348-8754
Mailing address
906 W OLIVE ST APT 31, WEST MONROE, LA 71292-6400
(318) 348-8754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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