Individual
EBONEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6711 S NEW BRAUNFELS AVE, SUITE 100, SAN ANTONIO, TX 78223-3005
(210) 532-8811
(210) 531-8172
Mailing address
6502 NURSERY DR. STE. 100, VICTORIA, TX 77904
(361) 575-0611
(361) 579-6913
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
32651
TX
Other
Enumeration date
01/31/2013
Last updated
11/08/2022
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