Individual
RAHQUIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
8215 SUMMIT PL, HOUSTON, TX 77071-3651
(832) 746-7658
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
65206
TX
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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