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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AVIS JACKSON

Active Sole Proprietor

AVIS JACKSON is a Clinical Social Worker healthcare provider located in NATCHITOCHES, Louisiana. NPI 1396309399 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NATCHITOCHES, LA

Registration Details

NPI Number
1396309399
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2019 (7.2886389535826 yrs)
Last Updated
Apr 24, 2019
License
11061 (LA)
Sole Proprietor
Yes

Practice Information

Address
714 OAKLAND DR
NATCHITOCHES, LA, 714575626
Browse LA providers · Browse ZIP 71457
Phone
3182285396
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in NATCHITOCHES, LA

Name Credential NPI
KATHLEEN PERRITT LCSW, LAC 1861509291
DR. D. RANDALL HALEY PH.D. 1407910128
MRS. LORETTA GAIL BRAUDAWAY L.C.S.W. 1053466896
MRS. ASHLEY ERIN HALEY LCSW 1487824371
MRS. DORIS M KOCHINSKY LCSW 1992954135
MS. SANDRA JOAN WIGGINS LCSW 1992027379
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.