Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODEACON LATRELL JACKSON SR.
Active Sole ProprietorMODEACON LATRELL JACKSON SR. is a Mental Health Counselor healthcare provider located in MONROE, Louisiana. NPI 1891208823 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MONROE, LA
Registration Details
- NPI Number
- 1891208823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2017 (8.724738583826 yrs)
- Last Updated
- Mar 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1702 BERNSTEIN PARK RDMONROE, LA, 712025502Browse LA providers · Browse ZIP 71202
- Phone
- 3183313440
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MONROE, LA
| Name | Credential | NPI |
|---|---|---|
| MS. SHERMIE F CLARK | LPC, LMFT | 1770552010 |
| MRS. PHYLLIS TAYLOR | L.P.C | 1548361967 |
| MR. WILLIAM LOVE | LMFT | 1952440182 |
| MS. DONNA BULLOCK | — | 1114066891 |
| MR. PHILLIP MORRIS | — | 1851430524 |
| MS. JOY TIGNER | — | 1306986864 |
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.