person
Corby Ryan Jackson
Professional Counselor in Dallas, Texas
NPI 1639530215

Corby Ryan Jackson is a Professional Counselor based in Joliet, TX and is specialized in Professional. Corby Ryan Jackson practices in Dallas, TX. The NPI Number for Corby Ryan Jackson is 1639530215 and holds a License No. 180.015589 (Texas).

The current practice location address for Corby Ryan Jackson is 11300 N Central Expy Ste 400, Dallas, TX and can be reached out via phone at 844-824-8775 and via fax at 281-648-2200.

Location: 11300 N Central Expy Ste 400, Dallas, TX, 60433-2745
person
Provider Profile Details
NPI Number
1639530215
Provider Name
Corby Ryan Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
11300 N Central Expy Ste 400, Dallas, TX, 60433-2745
Phone Number
844-824-8775
Fax Number
281-648-2200
Provider Enumeration Date
03/10/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
11300 N Central Expy Ste 400
City
State
Zip
75243-6712
Phone Number
844-824-8775
Fax Number
281-648-2200
person
Provider Business Mailing Address Details
Address
11300 N Central Expy Ste 400
City
State
Zip
75243-6712
Phone Number
844-824-8775
Fax Number
281-648-2200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.015589 (Illinois)
Definition
Definition to come...
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