IndividualActive
Avis Jackson
NPI 1396309399 · Clinical Social Worker · Natchitoches, LA
Provider details
- NPI number
- 1396309399
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11061 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
714 Oakland Dr
Natchitoches, LA 71457-5626
Phone: (318) 228-5396
Approximate (ZIP-level) locationGet directions
Mailing address
714 Oakland Dr
Natchitoches, LA 71457-5626
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2019-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.