Shanta D Jackson
NPI #1003322827 in Cedar Hill, Texas
Provider Information
- NPI Number
- 1003322827
- Entity Type
- Individual
- Name
- Shanta D Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 15, 2017
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 445 E FM 1382 STE 3
- City
- Cedar Hill
- State
- Texas
- ZIP Code
- 75104-6046
- Phone
- (214) 699-7908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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