Individual
CINDY R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
2099 N COLLINS BLVD, STE 100, RICHARDSON, TX 75080-2698
(972) 437-4698
Mailing address
2099 N COLLINS BLVD, STE 100, RICHARDSON, TX 75080-2698
(972) 437-4698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61359
TX
Other
Enumeration date
02/17/2009
Last updated
11/12/2009
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