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Dr. Jada Cm Jackson, EDD
Professional Counselor in Lancaster, Texas
NPI 1184158149

Jada Cm Jackson is a Professional Counselor based in Dallas, TX and is specialized in Professional. Jada Cm Jackson practices in Lancaster, TX and has the professional credentials of EDD. The NPI Number for Jada Cm Jackson is 1184158149 and holds a License No. 12331 (Texas).

The current practice location address for Jada Cm Jackson is 711 Nichols Dr, Lancaster, TX and can be reached out via phone at 407-921-0836.

Location: 711 Nichols Dr, Lancaster, TX, 75254-7564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184158149
Provider Name
Jada Cm Jackson
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
711 Nichols Dr, Lancaster, TX, 75254-7564
Phone Number
407-921-0836
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
711 Nichols Dr
City
Lancaster
State
Texas
Zip
75146-7235
Phone Number
407-921-0836
Fax Number
person
Provider Business Mailing Address Details
Address
711 Nichols Dr
City
Lancaster
State
Texas
Zip
75146-7235
Phone Number
407-921-0836
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
75885 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12331 (Florida)
Definition
Definition to come...
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