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Megan Jackson

Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).

NPI number1114484151
StatusActive
Last updated in NPPESMay 13, 2021

Details

NPI
1114484151
Entity type
Individual (NPI-1)
Name
Ms. Megan Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2019
Certification date
May 13, 2021
Last updated
May 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Phone 318-861-8938 · Fax 318-862-3554

Mailing address

9403 Mansfield Rd
Shreveport, LA 71118-3815

Phone 318-861-8938 · Fax 318-862-3554

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