Individual
MR. RICHARD WARREN JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-BACS, LAC, CCGC
Contact information
Practice address
7732 GOODWOOD BLVD STE 102, BATON ROUGE, LA 70806-7680
(504) 517-6390
Mailing address
7732 GOODWOOD BLVD STE 102, BATON ROUGE, LA 70806-7680
(504) 517-6390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13630
LA
Other
Enumeration date
10/13/2017
Last updated
03/19/2023
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