Individual
BLAIR JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
114 E LOUISIANA ST, MCKINNEY, TX 75069-4471
(972) 886-8375
Mailing address
7830 CLAREMONT DR, DALLAS, TX 75228-6438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86511
TX
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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