Lee E Jackson

NPI #1891368668 in Desoto, Texas

Provider Information

NPI Number
1891368668
Entity Type
Individual
Name
Lee E Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 20, 2021
Last Updated
Jul 20, 2021

Practice Location

Address
1229 E PLEASANT RUN RD STE 200
City
Desoto
State
Texas
ZIP Code
75115-4214
Phone
(972) 226-4261

Specialties & Taxonomy Codes

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

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