Individual
CAROL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 LITTLE RD, ARLINGTON, TX 76016-1725
(817) 457-6728
Mailing address
2912 LITTLE RD, ARLINGTON, TX 76016-1725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81052
TX
Other
Enumeration date
01/05/2023
Last updated
01/19/2023
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