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

James Jackson

Individual provider Mental Health Counselor · NPI 1417406380

James Jackson is a Mental Health Counselor in Lake Providence, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016

Practice location Address checks out

1700 Lake St
Lake Providence, LA 71254-5208
Phone: (318) 559-0551
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 number1417406380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016
Mailing address1700 Lake St, Lake Providence, LA 71254-5208

Other providers in Lake Providence