Individual
DAKOTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 746-1935
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103
(318) 779-0434
(318) 210-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLPC10663
LA
Other
Enumeration date
10/04/2018
Last updated
09/16/2025
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