Individual provider · Type 1 NPI

Jada Jackson

Mental Health Counselor · Lake Charles, LA

NPI number 1417498692 Active

Practice location

1639 Ryan St
Lake Charles, LA 70601-5948

Fax (337) 602-6392

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417498692

Jada Jackson's National Provider Identifier is 1417498692, issued on Mar 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 20, 2017.