Individual provider · Type 1 NPI

Jamaal Jackson

Peer Specialist · Monroe, LA

NPI number 1770113367 Active

Practice location

4310 S Grand St
Monroe, LA 71202-6322

Call (318) 789-9436 Map

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1770113367

Jamaal Jackson's National Provider Identifier is 1770113367, issued on Jan 22, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Monroe, LA. The record was last updated on Jan 22, 2020.