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Kami Jackson, LPC
Professional Counselor in Tyler, Texas
NPI 1790249860

Kami Jackson is a Professional Counselor based in Tyler, TX and is specialized in Professional. Kami Jackson practices in Tyler, TX and has the professional credentials of LPC. The NPI Number for Kami Jackson is 1790249860 and holds a License No. 70594 (Texas).

The current practice location address for Kami Jackson is 7925 S Broadway Ave Ste 820, Tyler, TX and can be reached out via phone at 903-330-0800.

Location: 7925 S Broadway Ave Ste 820, Tyler, TX, 75703-5255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790249860
Provider Name
Kami Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7925 S Broadway Ave Ste 820, Tyler, TX, 75703-5255
Phone Number
903-330-0800
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7925 S Broadway Ave Ste 820
City
Tyler
State
Texas
Zip
75703-5255
Phone Number
903-330-0800
Fax Number
person
Provider Business Mailing Address Details
Address
7925 S Broadway Ave Ste 820
City
Tyler
State
Texas
Zip
75703-5255
Phone Number
903-330-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
70594 (Texas)
Definition
Definition to come...
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