| Jackson Group | |
|
4035 Washington Ave New Orleans LA 70125-2935 | |
| (504) 535-5082 | |
| (877) 250-2283 |
| Full Name | Jackson Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4035 Washington Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Dreatha J Jackson (CEO) |
| Authorized Official Contact | 6186239771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Group 6032 Pontchartrain Blvd New Orleans LA 70124-1934 Ph: (618) 623-9771 | Jackson Group 4035 Washington Ave New Orleans LA 70125-2935 Ph: (504) 535-5082 |
| NPI Number | 1306486345 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306486345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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