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

Charles Jackson

Individual provider Mental Health Counselor · NPI 1457896839

Charles Jackson is a Mental Health Counselor in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.

Licensed in
LA
In the registry since
2016

Practice location Address checks out

2911 Penick St
Shreveport, LA 71109-4337
Phone: (318) 393-8396
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (LA)

Record details

NPI number1457896839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 21, 2016

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