Individual provider · Type 1 NPI
Derrika Lyons Jackson, LPC I
Professional Counselor · Livingston, TX
NPI number
1376725291
Active
Practice location
201 Skyview Dr
Livingston, TX 77351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 62371 (TX) |
Professional Counselor: Definition to come...
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About NPI 1376725291
Derrika Lyons Jackson, LPC I's National Provider Identifier is 1376725291, issued on Dec 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Livingston, TX. The record was last updated on Dec 3, 2007.