JALISA JACKSON
NPI 1982131421
Counselor - Mental Health in New Orleans, LA
Active since May 15, 2017
About Jalisa Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALISA JACKSON (NPI 1982131421) is an individual mental health provider in New Orleans, Louisiana and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1982131421
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJALISA JACKSON
Location Address3308 TULANE AVE STE 407New Orleans, LA 70119-7158
Mailing Address3401 Garden Oaks Dr Apt 218New Orleans, LA 70114-7717 · (504) 317-6417
Phone(504) 821-6830
Sole ProprietorNo
Enumeration DateMay 15, 2017
✔ NPI 1982131421 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3308 TULANE AVE STE 407, New Orleans, LA 70119
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982131421, enumerated as an "individual" on May 15, 2017.
The provider is located at 3308 TULANE AVE STE 407 NEW ORLEANS, LA 70119 and the phone number is (504) 821-6830.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.