Individual
SHONNESHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S POLK AVE, JONESBORO, LA 71251-3714
(318) 475-2479
Mailing address
820 S POLK AVE, JONESBORO, LA 71251-3714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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