Individual
JANELLE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DEMOCRACY DR STE 135, PLANO, TX 75024-3672
(501) 944-0931
Mailing address
5601 DEMOCRACY DR STE 135, PLANO, TX 75024-3672
(479) 464-1060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
05/04/2020
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