Individual provider · Type 1 NPI
Iree Jackson, LAC
Addiction (Substance Use Disorder) Counselor · Tallulah, LA
NPI number
1275991176
Active
Practice location
404 E Craig St
Tallulah, LA 71282-3718
Fax (318) 574-4164
Mailing address
815 W Craig Street
Tallulah, LA 71282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 823 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1275991176
Iree Jackson, LAC's National Provider Identifier is 1275991176, issued on Feb 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tallulah, LA. The record was last updated on Feb 5, 2016.