LACREISHA JACKSON

Counselor - Mental Health

Active Individual
NPI: 1053189597

Practice Address

211 LUNTSFORD LN
Ruston, LA 71270

Phone: (918) 202-3789

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1053189597 is the National Provider Identifier for LACREISHA JACKSON, a Counselor - Mental Health provider located in Ruston, LA. This NPI was enumerated on December 14, 2023.
LACREISHA JACKSON practices at 211 LUNTSFORD LN, Ruston, LA 71270.

Quick Facts

NPI
1053189597
Type
Individual
Enumerated
Dec 14, 2023
Last Updated
Dec 14, 2023

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