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Individual

MS. ASHLEY NICHOLE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, PCC-A

Contact information

Practice address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
(214) 456-1240
Mailing address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6182
CA
106H00000X
Marriage & Family Therapist
132125
CA
106H00000X
Marriage & Family Therapist
Primary
204617
TX

Other

Enumeration date
01/09/2017
Last updated
11/14/2023
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