Individual provider · Type 1 NPI
Ke'arrah Jackson
Professional Counselor · Gray, LA
NPI number
1356894919
Active
Practice location
4266 West Main Street Suite 100
Gray, LA 70359
Mailing address
157 Natalie Park Dr
Thibodaux, LA 70301-8439
Other practice locations
- 441 Idlewild Dr Apt A, Houma, LA 70364-1416 · (985) 360-8199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Counselor | 101Y00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1356894919
Ke'arrah Jackson's National Provider Identifier is 1356894919, issued on Aug 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gray, LA. The record was last updated on Jun 26, 2023.