Individual provider · Type 1 NPI

Phyllis Jackson

Mental Health Counselor · Baton Rouge, LA

NPI number 1033665666 Active

Practice location

411 Colonial Dr
Baton Rouge, LA 70806-6506

Call (225) 926-9706 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033665666

Phyllis Jackson's National Provider Identifier is 1033665666, issued on Sep 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 10, 2016.