Individual
ARNISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 S BURLESON BLVD, BURLESON, TX 76028-1878
(817) 447-3001
Mailing address
2915 S BURLESON BLVD, BURLESON, TX 76028-1878
(817) 447-3001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14499
TX
101YP2500X
Professional Counselor
Primary
78190
TX
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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