Domique Jackson
Domique Jackson is a Mental Health Counselor in New Orleans, Louisiana. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4480 General De Gaulle Dr Ate 210New Orleans, LA 70131-6941
Phone: (504) 648-6758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1437694361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 2, 2017 |
| Last updated in NPPES | January 2, 2017 |
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