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Organization
SELF CENTER PLLC
Active
Organization
SELF CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE JACKSON LPC (DIRECTOR)
(601) 807-5030
Entity
Organization
Contact information
Practice address
1010 WILLIAMS LAKE DR, RICHMOND, TX 77469-4295
(601) 807-5030
Mailing address
1010 WILLIAMS LAKE DR, RICHMOND, TX 77469-4295
(601) 807-5030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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