Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JACKSON
Active Sole ProprietorKIMBERLY JACKSON is a Counselor healthcare provider located in TALLULAH, Louisiana. NPI 1962858050 is currently active in the NPPES registry. Verify at CMS.
Counselor · TALLULAH, LA
Registration Details
- NPI Number
- 1962858050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2016 (10.223922817513 yrs)
- Last Updated
- Oct 29, 2025
- Licenses
-
10088 (LA)10088 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1705 FELICIA AVETALLULAH, LA, 71282Browse LA providers · Browse ZIP 71282
- Phone
- 3185741232
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
- Additional Specialty
- Mental Health Counselor
Other Counselor Providers in TALLULAH, LA
| Name | Credential | NPI |
|---|---|---|
| CRYSTAL JENELL WILLIAMS | — | 1306216999 |
| MRS. RUBY THOMAS | M.ED. | 1811367246 |
| CHRISTINA WILSON | — | 1891165213 |
| CRYSTAL BINGHAM | M.S. | 1225409733 |
| DR. PERRY REVELS | — | 1518313394 |
| ANNETTE HAMILTON | — | 1255787859 |
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.