person
Connie Jackson
Addiction (Substance Use Disorder) Counselor in Kingsland, Texas
NPI 1265973812

Connie Jackson is an Addiction (Substance Use Disorder) Counselor based in Llano, TX and is specialized in Addiction (Substance Use Disorder). Connie Jackson practices in Kingsland, TX. The NPI Number for Connie Jackson is 1265973812 and holds a License No. 74377 (Texas).

The current practice location address for Connie Jackson is 1410 Ranch Road 2900 Ste 303, Kingsland, TX and can be reached out via phone at 830-499-3744.

Location: 1410 Ranch Road 2900 Ste 303, Kingsland, TX, 78643-2611
person
Provider Profile Details
NPI Number
1265973812
Provider Name
Connie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1410 Ranch Road 2900 Ste 303, Kingsland, TX, 78643-2611
Phone Number
830-499-3744
Fax Number
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1410 Ranch Road 2900 Ste 303
City
State
Zip
78639-5853
Phone Number
830-499-3744
Fax Number
person
Provider Business Mailing Address Details
Address
1410 Ranch Road 2900 Ste 303
City
State
Zip
78639-5853
Phone Number
830-499-3744
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13344 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
74377 (Texas)
Definition
Definition to come...
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