Lacreisha Jackson
Lacreisha Jackson is a Mental Health Counselor in Ruston, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
211 Luntsford LnRuston, LA 71270-5967
Phone: (918) 202-3789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1053189597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2023 |
| Last updated in NPPES | December 14, 2023 |
| Certification date | December 14, 2023 |
| Mailing address | 211 Luntsford Ln, Ruston, LA 71270-5967 |
Other providers in Ruston
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-
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