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MODEACON JACKSON

Mental Health Counselor

NPI: 1891208823Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
1702 BERNSTEIN PARK RD
MONROE, LA 71202

Quick Facts

NPI
1891208823
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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