Individual
MISS REBECKA N JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
319 WILDFIRE DR, LEWISVILLE, TX 75067-5248
(214) 727-3111
Mailing address
4055 FRANKFORD RD, DALLAS, TX 75287-6676
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
04/30/2025
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