Individual provider · Type 1 NPI
Marilyn Renee Jackson, LPC-S
Professional Counselor · Dallas, TX
NPI number
1669693453
Active
Practice location
915 Brookmere Dr
Dallas, TX 75216-6128
Mailing address
PO Box 381465
Duncanville, TX 75138-1465
Other practice locations
- 419 W Wheatland Rd Ste 101, Duncanville, TX 75116-4619 · (972) 283-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201027 (TX) |
| Professional Counselor Primary | 101YP2500X | 63045 (TX) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1669693453
Marilyn Renee Jackson, LPC-S's National Provider Identifier is 1669693453, issued on May 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Sep 6, 2024.