Individual
DR. KATHY LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
2829 YOUREE DR STE 1, SHREVEPORT, LA 71104-3640
(318) 588-6589
Mailing address
2829 YOUREE DR STE 1, SHREVEPORT, LA 71104-3640
(318) 588-6589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3643
LA
Other
Enumeration date
08/21/2012
Last updated
07/13/2023
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