Individual provider · Type 1 NPI
Dana Jackson
Counselor · Shreveport, LA
NPI number
1326582263
Active
Practice location
2425 Youree Drive
Shreveport, LA 71104
Mailing address
6233 Trailwood Ter
Shreveport, LA 71119-7232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Social Worker | 104100000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1326582263
Dana Jackson's National Provider Identifier is 1326582263, issued on Dec 12, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shreveport, LA. The record was last updated on Dec 12, 2016.