# SHONETTE RENA JACKSON-UMEH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598289779
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 74628 | TX | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 405300000X | Prevention Professional | 74628 | TX | — |

## Other

- **Enumeration date:** 07/31/2017
- **Last updated:** 08/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1528574282 | — | TX |