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Individual
SHONETTE RENA JACKSON-UMEH
Active
Individual
SHONETTE RENA JACKSON-UMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
74628
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
13653
TX
101YM0800X
Mental Health Counselor
74628
TX
101YP2500X
Professional Counselor
74628
TX
171M00000X
Case Manager/Care Coordinator
Primary
74628
TX
171M00000X
Case Manager/Care Coordinator
—
—
405300000X
Prevention Professional
74628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528574282
—
TX
Enumeration date
07/31/2017
Last updated
08/03/2026
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