Individual provider · Type 1 NPI

Charles Jackson

Mental Health Counselor · Shreveport, LA

NPI number 1457896839 Active

Practice location

2911 Penick St
Shreveport, LA 71109-4337

Call (318) 393-8396 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Shreveport

See all in Shreveport →

About NPI 1457896839

Charles Jackson's National Provider Identifier is 1457896839, issued on Dec 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Dec 21, 2016.