Jackson, Charnel Lazette
Jackson, Charnel Lazette is an individual health care provider with primary practice located at 4787 Waywood Dr #C, Zachary LA 70791-2480. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Charnel Lazette can be contacted via phone (225) 654-6321.Contact Information
Primary practice address
4787 Waywood Dr #C
Zachary LA 70791-2480
Phone: (225) 654-6321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3661 | Louisiana |
Profile Details
| NPI number | 1619205150 |
|---|---|
| LBN Legal business name | Jackson, Charnel Lazette |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2009 |
| Last updated | Nov 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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