SearchLouisiana103TS0200X

Wealthia Jackson, LICENSED SCHOOL PSYC

NPI 1811412448 · on the registry since 2017 · sole proprietor

Practice

Address
11115 Sandwood Dr
Keithville, LA 71047
Phone
(318) 393-6935

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana