person
Shane Michell Jackson, LPC
Mental Health Counselor in Gilmer, Texas
NPI 1922173897

Shane Michell Jackson is a Mental Health Counselor based in Gilmer, TX and is specialized in Mental Health. Shane Michell Jackson practices in Gilmer, TX and has the professional credentials of LPC. The NPI Number for Shane Michell Jackson is 1922173897 and holds a License No. 4128 (Texas).

The current practice location address for Shane Michell Jackson is 115 W Tyler St, Gilmer, TX and can be reached out via phone at 903-746-7643 and via fax at 903-843-4336.

Location: 115 W Tyler St, Gilmer, TX, 75644-1551
person
Provider Profile Details
NPI Number
1922173897
Provider Name
Shane Michell Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
115 W Tyler St, Gilmer, TX, 75644-1551
Phone Number
903-746-7643
Fax Number
903-843-4336
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
16480 01 TX LPC
4128 01 TX LCDC
institution
Provider Business Practice Location Address Details
Address
115 W Tyler St
City
State
Zip
75644-2239
Phone Number
903-746-7643
Fax Number
903-843-4336
person
Provider Business Mailing Address Details
Address
115 W Tyler St
City
State
Zip
75644-2239
Phone Number
903-746-7643
Fax Number
903-843-4336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16480 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4128 (Texas)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.