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Kendrick Jackson

Counselor Social Worker Behavior Analyst Professional Counselor and 5 more

311 Church St
Natchitoches , Louisiana 71457-4612

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Counselor
  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Professional Counselor
  • Behavior Analyst
  • Clinical Child & Adolescent Psychologist
  • Rehabilitation Psychologist
  • Social Worker
  • Clinical Social Worker

Languages spoken

  • English

Location

311 Church St Natchitoches , Louisiana 71457-4612

First Address

  • Kendrick Jackson
  • 311 Church St
  • Natchitoches, LA
  • Zip : 71457-4612
  • Phone :

Second Address

  • Kendrick Jackson
  • 311 Church St
  • Natchitoches, LA
  • Zip : 71457-4612
  • Phone : (318) 451-6011

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FAQs


Where did Kendrick Jackson attend graduate school?

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Where did Kendrick Jackson do his residency?

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Where did Kendrick Jackson do his fellowship?

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Is Kendrick Jackson board certified?

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In what state does Kendrick Jackson practice in?

Louisiana

Where is Kendrick Jackson ’s practice located?

311 Church St , Natchitoches, Louisiana, 71457-4612

What is Kendrick Jackson ’s gender?

Male

Is Kendrick Jackson a sole practitioner?

No

Is Kendrick Jackson accepting new patients?

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What languages does Kendrick Jackson speak?

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Does Kendrick Jackson accept insurance?

Yes, Kendrick Jackson accepts insurance

Does Kendrick Jackson offers telemedicine?

Kendrick Jackson has not indicated if he offers telemedicine

What is Kendrick Jackson ’s professional license number?

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What is Kendrick Jackson ’s NPI number?

1013391176

Does Kendrick Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101Y00000X Counselor LA
N 101YA0400X Addiction Counselor (Substance Use Disorder) LA
N 101YM0800X Mental Health Counselor LA
N 101YP2500X Professional Counselor LA
N 103K00000X Behavior Analyst LA
N 103TC2200X Clinical Child & Adolescent Psychologist LA
N 103TR0400X Rehabilitation Psychologist LA
N 104100000X Social Worker LA
N 1041C0700X Clinical Social Worker LA

National Provider Identifier

NPI 1013391176
Provider Name Kendrick Jackson
First Address Natchitoches, LA 71457-4612
Second Address Natchitoches, LA 71457-4612
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/07/2015
Last Update Date 17/07/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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