Individual provider · Type 1 NPI
Vallon Jackson, LPC
Professional Counselor · Greenville, TX
NPI number
1174014302
Active
Practice location
1703 Langford St
Greenville, TX 75401-2924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 76298 (TX) |
Professional Counselor: Definition to come...
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About NPI 1174014302
Vallon Jackson, LPC's National Provider Identifier is 1174014302, issued on May 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, TX. The record was last updated on Jan 1, 2021.