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

Mr. Jacarri Deandrell Jackson

Individual provider Counselor · NPI 1154780880

Mr. Jacarri Deandrell Jackson is a Counselor in Bossier City, Louisiana. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

343 Gaston Ln
Bossier City, LA 71112-4270
Phone: (318) 461-2256
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1154780880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

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