Individual
ANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
12740 HILLCREST RD STE 210, DALLAS, TX 75230-2074
(214) 394-7124
Mailing address
12740 HILLCREST RD STE 210, DALLAS, TX 75230-2074
(214) 394-7124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
90533
TX
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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