Individual provider · Type 1 NPI
Thad Jackson
Counselor · Baton Rouge, LA
NPI number
1669988879
Active
Practice location
449 Ben Hur Rd Apt 5106B
Baton Rouge, LA 70820-4144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Counselor Primary | 101Y00000X | None listed |
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.
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About NPI 1669988879
Thad Jackson's National Provider Identifier is 1669988879, issued on Dec 26, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 16, 2018.