Search › Louisiana › 171M00000X
Clarke Jackson
NPI 1518487149 · on the registry since 2017 · sole proprietor
Practice
- Address
- 9403 Mansfield Rd
Shreveport, LA 71118 - Phone
- (318) 861-8938
- Organisation at this address
- Pelican Bayou Counseling Agency Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 326
Additional practice sites
- 1933 Hickory St, Shreveport, LA
- 9730 Baird Rd Apt 2310, Shreveport, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana