Individual
MS. CERIKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
Mailing address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
PLC9351
LA
171M00000X
Case Manager/Care Coordinator
PLC9351
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
LA
Enumeration date
10/17/2017
Last updated
02/05/2023
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