Individual provider · Type 1 NPI
Tamara Jackson
Professional Counselor · Dallas, TX
NPI number
1457045478
Active
Practice location
8625 King George Dr
Dallas, TX 75235-2215
Mailing address
PO Box 2375
Cedar Hill, TX 75106-2375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 90985 (TX) |
Professional Counselor: Definition to come...
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About NPI 1457045478
Tamara Jackson's National Provider Identifier is 1457045478, issued on Jun 5, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jun 5, 2023.