person
Modeacon Latrell Jackson SR.
Mental Health Counselor in Monroe, Louisiana
NPI 1891208823

Modeacon Latrell Jackson SR. is a Mental Health Counselor based in Monroe, LA and is specialized in Mental Health. Modeacon Latrell Jackson SR. practices in Monroe, LA. The NPI Number for Modeacon Latrell Jackson SR. is 1891208823 and holds a License No. (Louisiana).

The current practice location address for Modeacon Latrell Jackson SR. is 1702 Bernstein Park Rd, Monroe, LA and can be reached out via phone at 318-331-3440.

Location: 1702 Bernstein Park Rd, Monroe, LA, 71202-5502
person
Provider Profile Details
NPI Number
1891208823
Provider Name
Modeacon Latrell Jackson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1702 Bernstein Park Rd, Monroe, LA, 71202-5502
Phone Number
318-331-3440
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1702 Bernstein Park Rd
City
State
Zip
71202-5502
Phone Number
318-331-3440
Fax Number
person
Provider Business Mailing Address Details
Address
1702 Bernstein Park Rd
City
State
Zip
71202-5502
Phone Number
318-331-3440
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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