Individual provider · Type 1 NPI
Anissa Jackson, LCDC
Addiction (Substance Use Disorder) Counselor · Dallas, TX
NPI number
1205679875
Active
Practice location
1601 Elm St Ste 4360
Dallas, TX 75201-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15987 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205679875
Anissa Jackson, LCDC's National Provider Identifier is 1205679875, issued on Jun 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Jun 13, 2024.