Individual provider · Type 1 NPI

Lacreisha Jackson

Mental Health Counselor · Ruston, LA

NPI number 1053189597 Active

Practice location

211 Luntsford Ln
Ruston, LA 71270-5967

Call (918) 202-3789 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1053189597

Lacreisha Jackson's National Provider Identifier is 1053189597, issued on Dec 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ruston, LA. The record was last updated on Dec 14, 2023.