MEDICARE: RONNIE JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841799590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNIE JACKSON

Provider Business Mailing Address
First Line	:	1428 PETERMAN DR STE A
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3461
Country	:	US
Telephone Number	:	318-625-7547
Fax Number	:

Provider Business Practice Location Address
First Line	:	1428 PETERMAN DR STE A
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3461
Country	:	US
Telephone Number	:	318-625-7547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	02/08/2018

Similar Medicare Providers

1225537970 — SAKENA CANNON
Practice Location Address:

1428 PETERMAN DR STE A
ALEXANDRIA, LA
71301-3461

Practice Phone: 318-625-7547
Practice Fax:

1760981419 — WHITNEY POWELL
Practice Location Address:

1428 PETERMAN DR STE A
ALEXANDRIA, LA
71301-3461

Practice Phone: 318-625-7547
Practice Fax:

1508094947 — DR. ELIZABETH ANN AMUNDSON D.D.S.
Practice Location Address:

2306 S. BROADWAY STREET S , SUITE 4
ALEXANDRIA, MN
56308-3461

Practice Phone: 320-762-5216
Practice Fax: 320-762-5694

1659807766 — AHMED RIAZ
Practice Location Address:

211 4TH ST
ALEXANDRIA, LA
71301-8421

Practice Phone: 318-769-3000
Practice Fax:

1437002045 — ANNTIASIA STRONG
Practice Location Address:

1450 PETERMAN DR STE A
ALEXANDRIA, LA
71301-3432

Practice Phone: 318-473-4328
Practice Fax:

1245185982 — OBTELECARE LOUISIANA LLC
Practice Location Address:

3330 MASONIC DR
ALEXANDRIA, LA
71301-3841

Practice Phone: 864-908-3530
Practice Fax:

Directions to “ RONNIE JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.