Individual provider · Type 1 NPI
Jada CM Jackson, ED.D
Professional Counselor · Lancaster, TX
NPI number
1184158149
Active
Practice location
711 Nichols Dr
Lancaster, TX 75146-7235
Mailing address
5050 Quorum Dr, 700
Dallas, TX 75254-7564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 12331 (FL) |
| Professional Counselor Primary | 101YP2500X | 75885 (TX) |
Professional Counselor: Definition to come...
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About NPI 1184158149
Jada CM Jackson, ED.D's National Provider Identifier is 1184158149, issued on Apr 17, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lancaster, TX. The record was last updated on Apr 17, 2017.