Kendrick Jackson, is a
Marriage & Family Therapist based in Natchitoches, Louisiana. Kendrick Jackson is licensed to practice in Louisiana (license number ) and his current practice location is
311 Church St, Natchitoches, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 451-6011.
NPI number for Kendrick Jackson is 1013391176 and his current mailing address is 311 Church St, Natchitoches, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013391176.
Healthcare Provider's Profile
| Full Name | Kendrick Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 311 Church St, Natchitoches, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013391176
- Provider Enumeration Date: 07/17/2015
- Last Update Date: 07/17/2015
Medical Identifiers
Medical identifiers for Kendrick Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013391176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Louisiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Louisiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | (Louisiana) | Secondary |
| 103K00000X | Behavior Analyst | (Louisiana) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Louisiana) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | (Louisiana) | Secondary |
| 104100000X | Social Worker | (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Louisiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendrick Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kendrick Jackson,
311 Church St,
Natchitoches, LA 71457-4612
Ph: () - | Kendrick Jackson,
311 Church St,
Natchitoches, LA 71457-4612
Ph: (318) 451-6011 |
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