Search › Louisiana › 101YA0400X
Joseph Jackson, CCS, RAC
NPI 1891152773 · on the registry since 2016
Practice
- Address
- 411 Sparrow St
Lake Providence, LA 71254 - Phone
- (318) 559-3356
- Fax
- (318) 559-2044
- Organisation at this address
- Delta Community Enhancement Program
Delta Community Action Association, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-22
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