Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNIE JACKSON
Active Sole ProprietorCONNIE JACKSON is a Professional Counselor healthcare provider located in KINGSLAND, Texas. NPI 1265973812 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KINGSLAND, TX
Registration Details
- NPI Number
- 1265973812
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2017 (9.3882348946882 yrs)
- Last Updated
- Oct 2, 2019
- Licenses
-
74377 (TX)13344 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1410 RANCH ROAD 2900 STE 303KINGSLAND, TX, 786395853Browse TX providers · Browse ZIP 78639
- Phone
- 8304993744
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in KINGSLAND, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA SUSAN DELOACH | MED, LPC | 1033874466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.