| |
1429 3rd St Alexandria LA 71301-8250 | |
(318) 308-2334 | |
(318) 449-3683 |
Full Name | |
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Speciality | Counselor - Pastoral |
Location | 1429 3rd St, Alexandria, Louisiana |
Authorized Official Name and Position | Sherri L. Jackson (OWNER/MANAGER) |
Authorized Official Contact | 3183082334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1429 3rd St Alexandria LA 71301-8250 Ph: (318) 308-2334 | 1429 3rd St Alexandria LA 71301-8250 Ph: (318) 308-2334 |
NPI Number | 1669821419 |
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Provider Enumeration Date | 06/11/2016 |
Last Update Date | 06/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669821419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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