Jackson, Kimberly

Jackson, Kimberly is an sole proprietor health care provider with primary practice located at 1705 Felicia Ave , Tallulah LA 71282. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Kimberly can be contacted via phone (318) 574-1232.

Contact Information

Primary practice address
1705 Felicia Ave Tallulah LA 71282
Phone: (318) 574-1232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10088 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana
Behavioral Health & Social Service Providers / Counselor 101Y00000X 10088 Louisiana

Profile Details

NPI number 1962858050
LBN Legal business name Jackson, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2016
Last updated May 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers