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Mr. Johnell Calvin Jackson
Mental Health Counselor in New Orleans, Louisiana
NPI 1528568672

Johnell Calvin Jackson is a Mental Health Counselor based in New Orleans, LA and is specialized in Mental Health. Johnell Calvin Jackson practices in New Orleans, LA. The NPI Number for Johnell Calvin Jackson is 1528568672 and holds a License No. (Louisiana).

The current practice location address for Johnell Calvin Jackson is 3501 Caesar Dr, New Orleans, LA and can be reached out via phone at 504-505-8864.

Location: 3501 Caesar Dr, New Orleans, LA, 70114-9211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528568672
Provider Name
Johnell Calvin Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3501 Caesar Dr, New Orleans, LA, 70114-9211
Phone Number
504-505-8864
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3501 Caesar Dr
City
New Orleans
State
Louisiana
Zip
70114-9211
Phone Number
504-505-8864
Fax Number
person
Provider Business Mailing Address Details
Address
3501 Caesar Dr
City
New Orleans
State
Louisiana
Zip
70114-9211
Phone Number
504-505-8864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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