Individual provider · Type 1 NPI

Dijuan Jackson

Mental Health Counselor · Shreveport, LA

NPI number 1477159408 Active

Practice location

631 Milam St Ste 103
Shreveport, LA 71101-3534

Call (318) 658-0069 Map

Mailing address

1 Tiger Dr
Marshall, TX 75670-1412

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477159408

Dijuan Jackson's National Provider Identifier is 1477159408, issued on Dec 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Oct 23, 2025.