Individual
MR. JACARRI DEANDRELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 GASTON LN, BOSSIER CITY, LA 71112-4270
(318) 461-2256
Mailing address
238 WILDWOOD ST, MANSFIELD, LA 71052-6420
(318) 465-1790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
11/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us