Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN PETRILLA JACKSON, MA, LPC
Active Sole ProprietorJEAN PETRILLA JACKSON, MA, LPC is a Professional Counselor healthcare provider located in ODESSA, Texas. NPI 1710048830 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ODESSA, TX
Registration Details
- NPI Number
- 1710048830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2006 (19.488770710929 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14966 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
855 CENTRAL DRODESSA, TX, 797614200Browse TX providers · Browse ZIP 79761
- Phone
- 4325807250
- Fax
- 4325822020
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ODESSA, TX
| Name | Credential | NPI |
|---|---|---|
| RONALD SCOTT MARTIN | LPC , LSOTP | 1295745891 |
| DANIEL PAUL DORETHY | LPC,LCDC,,MAC,M.ED. | 1639228323 |
| MARY J CARRASCO | LPC | 1083763783 |
| MS. CYNTHIA DARLENE TRIFON | LPC | 1346399078 |
| MS. PATSY RUTH LAY | LBSW | 1780892158 |
| DARLA JEAN AVERY | LPC | 1578749560 |
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.