FREDERICK JACKSON JR., MS.

Case Manager/Care Coordinator

Active Individual
NPI: 1609222058

Practice Address

9045 KINGSTON RD APT 101
Shreveport, LA 71118

Phone: (940) 399-4095

Specialties

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

Frequently Asked Questions

NPI 1609222058 is the National Provider Identifier for FREDERICK JACKSON JR., MS., a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on May 4, 2016.
FREDERICK JACKSON JR., MS. practices at 9045 KINGSTON RD APT 101, Shreveport, LA 71118.

Quick Facts

NPI
1609222058
Type
Individual
Enumerated
May 4, 2016
Last Updated
May 30, 2024

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