KIMBERLY JACKSON

Counselor

NPI: 1962858050Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

CounselorPrimary

Counselor

Code: 101Y00000X

10088(LA)

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

10088(LA)

Contact & Hours

Via practice · 2 locations total

Address: 1700 LAKE ST
LAKE PROVIDENCE, LA 71254
Phone: (318) 559-0414

Locations (2)

Practice Location

1700 LAKE ST, LAKE PROVIDENCE, LA

Practice Location

1705 FELICIA AVE, TALLULAH, LA

Quick Facts

NPI: 1962858050
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 3
Locations: 2

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