person
Iree Jackson, LAC
Addiction (Substance Use Disorder) Counselor in Tallulah, Louisiana
NPI 1275991176

Iree Jackson is an Addiction (Substance Use Disorder) Counselor based in Tallulah, LA and is specialized in Addiction (Substance Use Disorder). Iree Jackson practices in Tallulah, LA and has the professional credentials of LAC. The NPI Number for Iree Jackson is 1275991176 and holds a License No. 823 (Louisiana).

The current practice location address for Iree Jackson is 404 E Craig St, Tallulah, LA and can be reached out via phone at 318-574-4164 and via fax at 318-574-4164.

Location: 404 E Craig St, Tallulah, LA, 71282
person
Provider Profile Details
NPI Number
1275991176
Provider Name
Iree Jackson
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
404 E Craig St, Tallulah, LA, 71282
Phone Number
318-574-4164
Fax Number
318-574-4164
Provider Enumeration Date
02/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
404 E Craig St
City
State
Zip
71282-3718
Phone Number
318-574-4164
Fax Number
318-574-4164
person
Provider Business Mailing Address Details
Address
404 E Craig St
City
State
Zip
71282-3718
Phone Number
318-574-4164
Fax Number
318-574-4164
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
823 (Louisiana)
Definition
Definition to come...
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