| Iree Jackson, LAC | |
|
404 E Craig St, Tallulah, LA 71282-3718 | |
| (318) 574-4164 | |
| (318) 574-4164 |
| Full Name | Iree Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 404 E Craig St, Tallulah, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275991176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 823 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Iree Jackson, LAC 815 W Craig Street, Tallulah, LA 71282 Ph: (318) 574-4776 | Iree Jackson, LAC 404 E Craig St, Tallulah, LA 71282-3718 Ph: (318) 574-4164 |
Chalei Rayveon Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 E Askew St, Tallulah, LA 71282 Phone: 318-574-2320 | |
Jacqueline Mcmillan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646 | |
Tywana Mcclure, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Beech St Ste 2805, Tallulah, LA 71282 Phone: 318-493-5147 Fax: 318-493-5148 | |
Cynthia Bryan, BSW, RSW, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646 | |
Brianna L Stevenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 | |
Ms. Glenda Hendon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 | |
Norma Epps, RAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 E Craig St, Tallulah, LA 71282 Phone: 318-574-4164 Fax: 318-574-4164 |