Staci Nicole Jackson
Staci Nicole Jackson is a Mental Health Counselor in Baton Rouge, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
11616 Southfork AveBaton Rouge, LA 70816-5241
Phone: (225) 291-9646
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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 |
|---|
Record details
| NPI number | 1003329160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2017 |
| Last updated in NPPES | November 13, 2017 |
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