Michael Jordain Jackson, LPC-A

NPI #1043052707 in Cedar Park, Texas

Provider Information

NPI Number: 1043052707
Entity Type: Individual
Name: Michael Jordain Jackson, LPC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC-A
Enumeration Date: Jun 12, 2024
Last Updated: Jun 12, 2024

Practice Location

Address: 3000 POLAR LN STE 501
City: Cedar Park
State: Texas
ZIP Code: 78613-3073
Phone: (512) 400-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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