Individual
CAREY LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-S
Contact information
Practice address
8876 GULF FWY, STE 415, HOUSTON, TX 77017-6513
(713) 807-1500
Mailing address
PO BOX 890008, HOUSTON, TX 77289-0008
(713) 807-1500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62953
TX
Other
Enumeration date
05/30/2007
Last updated
04/09/2013
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