person
Kristie Jackson
Mental Health Counselor in Vidalia, Louisiana
NPI 1639629454

Kristie Jackson is a Mental Health Counselor based in Vidalia, LA and is specialized in Mental Health. Kristie Jackson practices in Vidalia, LA. The NPI Number for Kristie Jackson is 1639629454 and holds a License No. (Louisiana).

The current practice location address for Kristie Jackson is 1644 Carter St, Vidalia, LA and can be reached out via phone at 318-414-3065 and via fax at 318-414-3067.

Location: 1644 Carter St, Vidalia, LA, 71373-3143
person
Provider Profile Details
NPI Number
1639629454
Provider Name
Kristie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1644 Carter St, Vidalia, LA, 71373-3143
Phone Number
318-414-3065
Fax Number
318-414-3067
Provider Enumeration Date
10/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1644 Carter St
City
State
Zip
71373-3143
Phone Number
318-414-3065
Fax Number
318-414-3067
person
Provider Business Mailing Address Details
Address
1644 Carter St
City
State
Zip
71373-3143
Phone Number
318-414-3065
Fax Number
318-414-3067
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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