Individual provider · Type 1 NPI
Darrell Jackson
Mental Health Counselor · Grambling, LA
NPI number
1538539770
Active
Practice location
290 Cornwell Dr
Grambling, LA 71245-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1538539770
Darrell Jackson's National Provider Identifier is 1538539770, issued on Sep 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grambling, LA. The record was last updated on Sep 30, 2015.