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DIJUAN JACKSON
NPI 1477159408
Counselor - Mental Health in Shreveport, LA

Active since December 06, 2020
631 MILAM ST STE 103, SHREVEPORT, LA 71101(318) 658-0069 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Dec 6, 2020 (2 updates tracked since 2020).

About Dijuan Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIJUAN JACKSON (NPI 1477159408) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1477159408
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIJUAN JACKSON
Location Address631 MILAM ST STE 103Shreveport, LA 71101-3534
Mailing Address1 Tiger DrMarshall, TX 75670-1412 · (903) 923-2360
Phone(318) 658-0069
Sole ProprietorYes
Enumeration DateDecember 6, 2020
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1477159408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
631 MILAM ST STE 103, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY ZANONI RBT
Counselor (Mental Health)
631 MILAM ST STE 103
SHREVEPORT, LA 71101
Caddo Parish (318) 658-0069
LATASHA NICOLE HOLLY M.A.
Counselor (Mental Health)
631 MILAM ST STE 103
SHREVEPORT, LA 71101
Caddo Parish (888) 918-7275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dijuan Jackson's NPI number?

The NPI number for Dijuan Jackson is 1477159408. It was assigned to this individual provider in the NPPES registry on December 6, 2020.

Where is Dijuan Jackson located?

Dijuan Jackson practices at 631 Milam St Ste 103, Shreveport, LA 71101. The listed phone number is (318) 658-0069.

What is Dijuan Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dijuan Jackson was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.