Clarissa Jackson, LCDC
NPI #1417454315 in Stephenville, Texas
Provider Information
- NPI Number
- 1417454315
- Entity Type
- Individual
- Name
- Clarissa Jackson, LCDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDC
- Enumeration Date
- Apr 9, 2018
- Last Updated
- Apr 9, 2018
Practice Location
- Address
- 3080 W WASHINGTON ST STE B
- City
- Stephenville
- State
- Texas
- ZIP Code
- 76401-3756
- Phone
- (254) 965-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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