Individual provider · Type 1 NPI

Trinette Amelia Jackson, RN, BSN

Mental Health Counselor · Baton Rouge, LA

NPI number 1396208617 Active

Practice location

4336 North Blvd Ste 104
Baton Rouge, LA 70806-3920

Call (225) 960-7419 Map

Mailing address

9265 Dancy Ave
Baton Rouge, LA 70814-3004

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1396208617

Trinette Amelia Jackson, RN, BSN's National Provider Identifier is 1396208617, issued on Apr 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 12, 2019.