Individual provider · Type 1 NPI

Jakara Henderson

Peer Specialist · Dallas, TX

NPI number 1164235644 Active

Practice location

1610 S Malcolm X Blvd Ste 320
Dallas, TX 75226-2100

Call (409) 597-5673 Map

Mailing address

608 S Mckinney St
Mexia, TX 76667-3644

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1164235644

Jakara Henderson's National Provider Identifier is 1164235644, issued on Jan 29, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 29, 2025.