person
Latrishia Gant Jackson
Mental Health Counselor in Shreveport, Louisiana
NPI 1548760952

Latrishia Gant Jackson is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Latrishia Gant Jackson practices in Shreveport, LA. The NPI Number for Latrishia Gant Jackson is 1548760952 and holds a License No. (Louisiana).

The current practice location address for Latrishia Gant Jackson is 543 Stoner Ave, Shreveport, LA and can be reached out via phone at 318-673-9901.

Location: 543 Stoner Ave, Shreveport, LA, 71101-4122
person
Provider Profile Details
NPI Number
1548760952
Provider Name
Latrishia Gant Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
543 Stoner Ave, Shreveport, LA, 71101-4122
Phone Number
318-673-9901
Fax Number
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
543 Stoner Ave
City
State
Zip
71101-4122
Phone Number
318-673-9901
Fax Number
person
Provider Business Mailing Address Details
Address
543 Stoner Ave
City
State
Zip
71101-4122
Phone Number
318-673-9901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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