Organization
CLAYMORE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE FLATLEY JACKSON PMHNP-BC (SOLE MBR)
(915) 203-6824
Entity
Organization
Contact information
Practice address
1717 BROWN ST STE 2B, EL PASO, TX 79902-4730
(915) 533-7755
(915) 542-2978
Mailing address
4843 OLMOS ST, EL PASO, TX 79922-1751
(915) 533-7755
(915) 542-2978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
552302
TX
Other
Enumeration date
10/25/2010
Last updated
04/06/2011
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