Individual provider · Type 1 NPI

Katrece Shantelle Jackson

Addiction (Substance Use Disorder) Counselor · Monroe, LA

NPI number 1497507420 Active

Practice location

1401 Hudson Ln Ste 202
Monroe, LA 71201-6032

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCIT5775 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497507420

Katrece Shantelle Jackson's National Provider Identifier is 1497507420, issued on Apr 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, LA. The record was last updated on Apr 3, 2024.