Individual provider · Type 1 NPI
Mary D. Jackson, LCSW-BAC
Mental Health Counselor · Zachary, LA
NPI number
1497602817
Active
Practice location
24120 Plank Rd
Zachary, LA 70791-6430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 12783 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1497602817
Mary D. Jackson, LCSW-BAC's National Provider Identifier is 1497602817, issued on Mar 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Zachary, LA. The record was last updated on Mar 13, 2026.