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Staci Nicole Jackson
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1003329160

Staci Nicole Jackson is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Staci Nicole Jackson practices in Baton Rouge, LA. The NPI Number for Staci Nicole Jackson is 1003329160 and holds a License No. (Louisiana).

The current practice location address for Staci Nicole Jackson is 11616 Southfork Ave, Baton Rouge, LA and can be reached out via phone at 225-291-9646.

Location: 11616 Southfork Ave, Baton Rouge, LA, 70816-5241
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Provider Profile Details
NPI Number
1003329160
Provider Name
Staci Nicole Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11616 Southfork Ave, Baton Rouge, LA, 70816-5241
Phone Number
225-291-9646
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11616 Southfork Ave
City
State
Zip
70816-5241
Phone Number
225-291-9646
Fax Number
person
Provider Business Mailing Address Details
Address
11616 Southfork Ave
City
State
Zip
70816-5241
Phone Number
225-291-9646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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