Jamaal Jackson is a Peer Specialist based in Baton Rouge, LA. Jamaal Jackson practices in Monroe, LA. The NPI Number for Jamaal Jackson is 1770113367 and holds a License No. (Louisiana).
The current practice location address for Jamaal Jackson is 4310 S Grand St, Monroe, LA and can be reached out via phone at 318-789-9436.
Location: 4310 S Grand St, Monroe, LA, 70806-4803
Provider Profile Details
NPI Number
1770113367
Provider Name
Jamaal Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4310 S Grand St, Monroe, LA, 70806-4803
Phone Number
318-789-9436
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4310 S Grand St
City
State
Zip
71202-6322
Phone Number
318-789-9436
Fax Number
Provider Business Mailing Address Details
Address
4310 S Grand St
City
State
Zip
71202-6322
Phone Number
318-789-9436
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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