Individual provider · Type 1 NPI

Shalyse A. Jackson

Addiction (Substance Use Disorder) Counselor · Monroe, LA

NPI number 1831965177 Active

Practice location

2101 Tower Dr
Monroe, LA 71201-5045

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1831965177

Shalyse A. Jackson's National Provider Identifier is 1831965177, issued on Nov 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, LA. The record was last updated on Nov 28, 2023.