Individual
ANALISA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 UNIVERSITY DR E STE 206, COLLEGE STATION, TX 77840-1700
(214) 302-9518
Mailing address
3415 MUSTANG LN, COLLEGE STATION, TX 77845-8188
(956) 827-0457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
97487
TX
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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