SearchTexas101YA0400X

Jacqueline Jackson, LCDC

NPI 1598918328 · on the registry since 2008

Practice

Address
201 South Tyler
Dallas, TX 75208
Phone
(214) 942-5166
Fax
(214) 942-6006

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas