Individual provider · Type 1 NPI

Jean Petrilla Jackson, MA, LPC

Professional Counselor · Odessa, TX

NPI number 1710048830 Active

Practice location

855 Central Dr
Odessa, TX 79761-4200

Call (432) 580-7250 Map

Fax (432) 582-2020

Mailing address

1200 W 10th St
Odessa, TX 79763-3546

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X14966 (TX)

Professional Counselor: Definition to come...

5 other providers at this address

Other professional counselor providers in Odessa

See all in Odessa →

About NPI 1710048830

Jean Petrilla Jackson, MA, LPC's National Provider Identifier is 1710048830, issued on Dec 12, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Odessa, TX. The record was last updated on Jul 8, 2007.