Individual
JUDY GAIL WHITE-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
76030
TX
101YP2500X
Professional Counselor
9899
LA
251B00000X
Case Management Agency
Primary
76030
TX
Other
Enumeration date
09/01/2018
Last updated
06/01/2026
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