Individual
MRS. SHELIA SCALES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6527 W RIDGECREEK DR, MISSOURI CITY, TX 77489-2825
(832) 728-6405
Mailing address
6527 W RIDGECREEK DR, MISSOURI CITY, TX 77489-2825
(832) 728-6405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
02/25/2019
Last updated
02/28/2019
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