Individual
MR. AKEE LJ JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9050 YOUREE DR. #1004, SHREVEPORT, LA 71115
(318) 795-8055
Mailing address
9050 YOUREE DR. #1004, SHREVEPORT, LA 71115
(318) 795-8055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4322
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1562904
—
LA
Enumeration date
11/08/2006
Last updated
07/08/2007
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