Individual
VANESSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 HILLARY DR, SLIDELL, LA 70461-4541
(504) 384-6679
Mailing address
1526 HILLARY DR, SLIDELL, LA 70461-4541
(504) 384-6679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15523
LA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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