SearchTexas101YA0400X

Karen Jackson, LCDC

NPI 1730481862 · on the registry since 2010

Practice

Address
605 E Berry St Ste 109
Fort Worth, TX 76110
Phone
(817) 927-5441
Fax
(817) 927-5542
Clinicians at this address
3

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
2010-11-22

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