Iree Jackson, LAC

NPI #1275991176 in Tallulah, Louisiana

Provider Information

NPI Number
1275991176
Entity Type
Individual
Name
Iree Jackson, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
Feb 5, 2016
Last Updated
Feb 5, 2016

Practice Location

Address
404 E CRAIG ST
ZIP Code
71282-3718
Phone
(318) 574-4164

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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