Individual provider · Type 1 NPI

Tierrani Jackson

Mental Health Counselor · Shreveport, LA

NPI number 1912455478 Active

Practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Call (318) 861-8938 Map

Fax (318) 861-3554

Mailing address

4737 Westwood Park Dr
Shreveport, LA 71109-6226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912455478

Tierrani Jackson's National Provider Identifier is 1912455478, issued on Sep 13, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 13, 2016.