person
Ms. Tracie Deneice Jackson, MA,PC2
Professional Counselor in Shreveport, Louisiana
NPI 1518997196

Tracie Deneice Jackson is a Professional Counselor based in Shreveport, LA and is specialized in Professional. Tracie Deneice Jackson practices in Shreveport, LA and has the professional credentials of MA,PC2. The NPI Number for Tracie Deneice Jackson is 1518997196 and holds a License No. 3384 (Louisiana).

The current practice location address for Tracie Deneice Jackson is 6005 Financial Plz, Shreveport, LA and can be reached out via phone at 318-632-2040 and via fax at 318-632-2073.

Location: 6005 Financial Plz, Shreveport, LA, 71129-2615
person
Provider Profile Details
NPI Number
1518997196
Provider Name
Tracie Deneice Jackson
Credential
MA,PC2
Provider Entity Type
Individual
Gender
Female
Address
6005 Financial Plz, Shreveport, LA, 71129-2615
Phone Number
318-632-2040
Fax Number
318-632-2073
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6005 Financial Plz
City
State
Zip
71129-2615
Phone Number
318-632-2040
Fax Number
318-632-2073
person
Provider Business Mailing Address Details
Address
6005 Financial Plz
City
State
Zip
71129-2615
Phone Number
318-632-2040
Fax Number
318-632-2073
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3384 (Louisiana)
Definition
Definition to come...
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