Kendrick Jackson

NPI 1013391176 · on the registry since 2015

Practice

Address: 311 Church St
Natchitoches, LA 71457
Phone: (318) 451-6011
Organisation at this address: Psychological Consulting
Youth And Families Empowerment Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 106H00000X
106H00000X
Also registered as: 101Y00000X
101YA0400X
101YM0800X
101YP2500X
103K00000X
103TC2200X
103TR0400X
104100000X
1041C0700X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana