Individual provider · Type 1 NPI

Taylor Jackson

Mental Health Counselor · Grand Prairie, TX

NPI number 1740989151 Active

Practice location

1020 S Carrier Pkwy
Grand Prairie, TX 75051-1527

Mailing address

2931 Crimson Clover Dr
Lancaster, TX 75134-1636

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800X86812 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1740989151

Taylor Jackson's National Provider Identifier is 1740989151, issued on Feb 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Prairie, TX. The record was last updated on Dec 10, 2024.