Individual provider · Type 1 NPI
Kathy Lynn Jackson, PhD, LPC
Professional Counselor · Shreveport, LA
NPI number
1255689337
Active
Practice location
2829 Youree Dr Ste 1
Shreveport, LA 71104-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3643 (LA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1255689337
Kathy Lynn Jackson, PhD, LPC's National Provider Identifier is 1255689337, issued on Aug 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Jul 13, 2023.