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Marcus Devaughn Jackson
Mental Health Counselor in Homer, Louisiana
NPI 1811495138

Marcus Devaughn Jackson is a Mental Health Counselor based in Homer, LA and is specialized in Mental Health. Marcus Devaughn Jackson practices in Homer, LA. The NPI Number for Marcus Devaughn Jackson is 1811495138 and holds a License No. (Louisiana).

The current practice location address for Marcus Devaughn Jackson is 221 Gladys Hodge Rd, Homer, LA and can be reached out via phone at 318-245-9176.

Location: 221 Gladys Hodge Rd, Homer, LA, 71040-5447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811495138
Provider Name
Marcus Devaughn Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
221 Gladys Hodge Rd, Homer, LA, 71040-5447
Phone Number
318-245-9176
Fax Number
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Gladys Hodge Rd
City
Homer
State
Louisiana
Zip
71040-5447
Phone Number
318-245-9176
Fax Number
person
Provider Business Mailing Address Details
Address
221 Gladys Hodge Rd
City
Homer
State
Louisiana
Zip
71040-5447
Phone Number
318-245-9176
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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