CHARLES JACKSON
Counselor - Mental Health
Active
Individual
NPI: 1457896839
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1457896839 is the National Provider Identifier for CHARLES JACKSON, a Counselor - Mental Health provider located in Shreveport, LA. This NPI was enumerated on December 21, 2016.
CHARLES JACKSON practices at 2911 PENICK ST, Shreveport, LA 71109.
Quick Facts
- NPI
- 1457896839
- Type
- Individual
- Enumerated
- Dec 21, 2016
- Last Updated
- Dec 21, 2016
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