Individual
ANTHONY BERNARD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1521 GREEN OAK PL STE 250, KINGWOOD, TX 77339-2044
(281) 608-1342
(832) 436-1648
Mailing address
1521 GREEN OAK PL STE 250, KINGWOOD, TX 77339-2044
(281) 608-1346
(832) 436-1648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106666
TX
Other
Enumeration date
01/07/2022
Last updated
06/05/2025
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