person
Katrece Shantelle Jackson
Addiction (Substance Use Disorder) Counselor in Monroe, Louisiana
NPI 1497507420

Katrece Shantelle Jackson is an Addiction (Substance Use Disorder) Counselor based in Monroe, LA and is specialized in Addiction (Substance Use Disorder). Katrece Shantelle Jackson practices in Monroe, LA. The NPI Number for Katrece Shantelle Jackson is 1497507420 and holds a License No. CIT5775 (Louisiana).

The current practice location address for Katrece Shantelle Jackson is 1401 Hudson Ln Ste 202, Monroe, LA and can be reached out via phone at 318-323-1300.

Location: 1401 Hudson Ln Ste 202, Monroe, LA, 71201-6032
person
Provider Profile Details
NPI Number
1497507420
Provider Name
Katrece Shantelle Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 Hudson Ln Ste 202, Monroe, LA, 71201-6032
Phone Number
318-323-1300
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1401 Hudson Ln Ste 202
City
State
Zip
71201-6032
Phone Number
318-323-1300
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Hudson Ln Ste 202
City
State
Zip
71201-6032
Phone Number
318-323-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CIT5775 (Louisiana)
Definition
Definition to come...
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