Individual provider · Type 1 NPI
Deidre Co'llett Jackson, M.ED LPC
Professional Counselor · Houston, TX
NPI number
1376944538
Active
Practice location
1826 Lingard Park Ct
Houston, TX 77047-7514
Mailing address
5959 West Loop S Ste 367
Bellaire, TX 77401-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 66355 (TX) |
Professional Counselor: Definition to come...
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About NPI 1376944538
Deidre Co'llett Jackson, M.ED LPC's National Provider Identifier is 1376944538, issued on Sep 8, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houston, TX. The record was last updated on Sep 8, 2014.