Queysheina Jackson

NPI #1780242693 in Reserve, Louisiana

Provider Information

NPI Number: 1780242693
Entity Type: Individual
Name: Queysheina Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 5, 2019
Last Updated: Jun 5, 2019

Practice Location

Address: 215 HOMEWOOD PL
City: Reserve
State: Louisiana
ZIP Code: 70084-5525
Phone: (985) 212-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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