Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avis Jackson

Individual provider Professional Counselor · NPI 1770115206

Avis Jackson is a Professional Counselor in Lafayette, Louisiana. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

315 S College Rd
Lafayette, LA 70503-3212
Phone: (337) 572-9844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28446 Gray Eagle Dr, Denham Springs, LA 70726-7876 — (225) 998-5372

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PLC8960 (LA)
Professional Counselor Taxonomy 101YP2500X (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1770115206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESJune 7, 2024
Certification dateMay 30, 2024

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