Individual provider · Type 1 NPI

Amy Jacobs

Counselor · Deridder, LA

NPI number 1487253100 Active

Practice location

1014 N Pine St Ste A
Deridder, LA 70634-2818

Call (337) 463-4020 Map

Fax (337) 463-4033

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPLC11199 (LA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4 other providers at this address

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About NPI 1487253100

Amy Jacobs's National Provider Identifier is 1487253100, issued on Oct 23, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Deridder, LA. The record was last updated on Jun 1, 2026.