Individual provider · Type 1 NPI

Latrishia Gant Jackson

Mental Health Counselor · Shreveport, LA

NPI number 1548760952 Active

Practice location

543 Stoner Ave
Shreveport, LA 71101-4122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548760952

Latrishia Gant Jackson's National Provider Identifier is 1548760952, issued on Feb 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Feb 13, 2018.