Individual
WHITNEY REE ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC I
Contact information
Practice address
7428 W MILITARY DR STE D, SAN ANTONIO, TX 78227-3010
(210) 977-1002
Mailing address
211 PIERIAN AVE # 2, SAN ANTONIO, TX 78211-2315
(210) 378-6367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
73748
TX
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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