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Keyana Deshawn Jackson, LPC,NBCC
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1194196204

Keyana Deshawn Jackson is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Keyana Deshawn Jackson practices in Baton Rouge, LA and has the professional credentials of LPC,NBCC. The NPI Number for Keyana Deshawn Jackson is 1194196204 and holds a License No. 5941 (Louisiana).

The current practice location address for Keyana Deshawn Jackson is 4041 Daytona Ave, Baton Rouge, LA and can be reached out via phone at 225-933-5091.

Location: 4041 Daytona Ave, Baton Rouge, LA, 70814-7145
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Provider Profile Details
NPI Number
1194196204
Provider Name
Keyana Deshawn Jackson
Credential
LPC,NBCC
Provider Entity Type
Individual
Gender
Female
Address
4041 Daytona Ave, Baton Rouge, LA, 70814-7145
Phone Number
225-933-5091
Fax Number
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-2271140 01 LA PRIVATE INSURERS
institution
Provider Business Practice Location Address Details
Address
4041 Daytona Ave
City
State
Zip
70814
Phone Number
225-933-5091
Fax Number
person
Provider Business Mailing Address Details
Address
4041 Daytona Ave
City
State
Zip
70814
Phone Number
225-933-5091
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5941 (Louisiana)
Definition
Definition to come...
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