Shana Justine Jackson, LPC-ASSOCIATE

NPI #1194402453 in Ft Worth, Texas

Provider Information

NPI Number: 1194402453
Entity Type: Individual
Name: Shana Justine Jackson, LPC-ASSOCIATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC-ASSOCIATE
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 9800 HILLWOOD PKWY STE 140
City: Ft Worth
State: Texas
ZIP Code: 76177-1532
Phone: (682) 516-3287

Specialties & Taxonomy Codes

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

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