Connie Jackson

NPI #1265973812 in Kingsland, Texas

Provider Information

NPI Number
1265973812
Entity Type
Individual
Name
Connie Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Mar 15, 2017
Last Updated
Oct 2, 2019

Practice Location

Address
1410 RANCH ROAD 2900 STE 303
State
Texas
ZIP Code
78639-5853
Phone
(830) 499-3744

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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