Individual
LINDA JOHNSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10701 CORPORATE DR STE 220, STAFFORD, TX 77477-4093
(713) 780-7333
(281) 242-4334
Mailing address
10701 CORPORATE DR STE 220, STAFFORD, TX 77477-4093
(713) 780-7333
(281) 242-4334
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2873
TX
Other
Enumeration date
10/10/2006
Last updated
11/17/2010
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