Individual provider · Type 1 NPI

Chantalyn Jackson

Mental Health Counselor · Amite, LA

NPI number 1932651387 Active

Practice location

104 Sassafras St
Amite, LA 70422-3425

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932651387

Chantalyn Jackson's National Provider Identifier is 1932651387, issued on Nov 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Amite, LA. The record was last updated on Nov 2, 2016.