Individual
MRS. CANDACE MCKENZIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1067 FM STE 607, NEW BRAUNFELS, TX 78130-6897
(830) 837-5550
(210) 352-9575
Mailing address
1067 FM STE 6307, NEW BRAUNFELS, TX 78130-6897
(830) 837-5550
(210) 352-9575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
69890
TX
101YP2500X
Professional Counselor
Primary
69890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334016802
—
TX
Enumeration date
06/02/2014
Last updated
07/28/2025
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