Individual provider · Type 1 NPI
Raquelle Jackson
Professional Counselor · Lancaster, TX
NPI number
1457123721
Active
Practice location
1437 Brook Meadow Cir
Lancaster, TX 75134-2941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 92372 (TX) |
Professional Counselor: Definition to come...
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About NPI 1457123721
Raquelle Jackson's National Provider Identifier is 1457123721, issued on Oct 30, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lancaster, TX. The record was last updated on Oct 30, 2023.