Individual provider · Type 1 NPI

Kimberly Jackson

Counselor · Tallulah, LA

NPI number 1962858050 Active

Practice location

1705 Felicia Ave
Tallulah, LA 71282

Call (318) 574-1232 Map

Other practice locations

  • 1700 Lake St, Lake Providence, LA 71254-5208 · (318) 559-0414

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor Primary 101Y00000X10088 (LA)
Mental Health Counselor 101YM0800X10088 (LA)

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 1962858050

Kimberly Jackson's National Provider Identifier is 1962858050, issued on May 9, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tallulah, LA. The record was last updated on Oct 29, 2025.