Individual
CHANTSE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 CHATHAM LN, FORNEY, TX 75126-6481
(469) 231-5571
Mailing address
1001 CHATHAM LN, FORNEY, TX 75126-6481
(469) 231-5571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116771
TX
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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