Individual
LAUREN INNES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5555 ARAPAHO RD, DALLAS, TX 75248-3442
(972) 661-1880
Mailing address
7810 AMHERST AVE, DALLAS, TX 75225-8201
(214) 794-8507
(972) 867-3402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34654
TX
Other
Enumeration date
03/09/2012
Last updated
08/25/2023
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