Individual provider · Type 1 NPI

Vanessa Michelle Jackson

Mental Health Counselor · Austin, TX

NPI number 1932679172 Active

Practice location

11754 Jollyville Rd Ste 110
Austin, TX 78759-3948

Fax (512) 665-5796

Other practice locations

  • 4220 Monterey Oaks Blvd Ste 320, Austin, TX 78749-1170 · (512) 331-2700

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1932679172

Vanessa Michelle Jackson's National Provider Identifier is 1932679172, issued on Nov 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 26, 2024.