Modeacon Latrell Jackson Sr.
Modeacon Latrell Jackson Sr. is a Mental Health Counselor in Monroe, Louisiana. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1702 Bernstein Park RdMonroe, LA 71202-5502
Phone: (318) 331-3440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1702 Bernstein Park Rd, Monroe, LA 71202-5502 — (318) 331-3440
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1891208823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2017 |
| Last updated in NPPES | March 17, 2018 |
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