Individual
ANDREA BETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-ASSOCIATE
Contact information
Practice address
8216 IRISH DR, NORTH RICHLAND HILLS, TX 76180-5530
(817) 307-8401
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(512) 318-2199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
204092
TX
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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