Individual provider · Type 1 NPI

Shana Justine Jackson, LPC-ASSOCIATE

Professional Counselor · Fort Worth, TX

NPI number 1194402453 Active

Practice location

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532

Call (682) 516-3287 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X91515 (TX)

Professional Counselor: Definition to come...

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About NPI 1194402453

Shana Justine Jackson, LPC-ASSOCIATE's National Provider Identifier is 1194402453, issued on Jun 29, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 29, 2023.