Individual provider · Type 1 NPI
Mallory Sue Jackson, LPC-A, CSC
Professional Counselor · Gilmer, TX
NPI number
1386513984
Active
Practice location
359 N Cypress St Ste 102
Gilmer, TX 75644-2348
Mailing address
1498 W Liberty Rd
Harleton, TX 75651-3726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 98631 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Gilmer
About NPI 1386513984
Mallory Sue Jackson, LPC-A, CSC's National Provider Identifier is 1386513984, issued on Nov 3, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gilmer, TX. The record was last updated on Nov 3, 2025.