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Tedra Nikia Jackson
Mental Health Counselor in Dallas, Texas
NPI 1023130176

Tedra Nikia Jackson is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. Tedra Nikia Jackson practices in Dallas, TX. The NPI Number for Tedra Nikia Jackson is 1023130176 and holds a License No. (Texas).

The current practice location address for Tedra Nikia Jackson is 3330 S Lancaster Rd, Dallas, TX and can be reached out via phone at 214-371-6639.

Location: 3330 S Lancaster Rd, Dallas, TX, 75216-4531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023130176
Provider Name
Tedra Nikia Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3330 S Lancaster Rd, Dallas, TX, 75216-4531
Phone Number
214-371-6639
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3330 S Lancaster Rd
City
Dallas
State
Texas
Zip
75216-4531
Phone Number
214-371-6639
Fax Number
person
Provider Business Mailing Address Details
Address
3330 S Lancaster Rd
City
Dallas
State
Texas
Zip
75216-4531
Phone Number
214-371-6639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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