Individual provider · Type 1 NPI

Brian Jackson

Mental Health Counselor · Shreveport, LA

NPI number 1346610011 Active

Practice location

3008 Conmar St
Shreveport, LA 71108

Call (318) 272-9721 Map

Fax (318) 675-0226

Specialties and licenses

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

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About NPI 1346610011

Brian Jackson's National Provider Identifier is 1346610011, issued on Oct 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on May 15, 2018.