Individual provider · Type 1 NPI
Shanta D. Jackson
Professional Counselor · Cedar Hill, TX
NPI number
1003322827
Active
Practice location
445 E FM 1382 Ste 3
Cedar Hill, TX 75104-6046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 73107 (TX) |
| Professional Counselor Primary | 101YP2500X | 73107 (TX) |
Professional Counselor: Definition to come...
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About NPI 1003322827
Shanta D. Jackson's National Provider Identifier is 1003322827, issued on Dec 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cedar Hill, TX. The record was last updated on Aug 20, 2024.