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Ke'arrah Jackson
Counselor in Gray, Louisiana
NPI 1356894919

Ke'arrah Jackson is a Counselor based in Thibodaux, LA. Ke'arrah Jackson practices in Gray, LA. The NPI Number for Ke'arrah Jackson is 1356894919 and holds a License No. (Louisiana).

The current practice location address for Ke'arrah Jackson is 4266 West Main Street Suite 100, Gray, LA and can be reached out via phone at 985-360-8199.

Location: 4266 West Main Street Suite 100, Gray, LA, 70301-8439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356894919
Provider Name
Ke'arrah Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4266 West Main Street Suite 100, Gray, LA, 70301-8439
Phone Number
985-360-8199
Fax Number
Provider Enumeration Date
08/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4266 West Main Street Suite 100
City
Gray
State
Louisiana
Zip
70359
Phone Number
985-360-8199
Fax Number
person
Provider Business Mailing Address Details
Address
4266 West Main Street Suite 100
City
Gray
State
Louisiana
Zip
70359
Phone Number
985-360-8199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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