Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE E JACKSON
ActiveLEE E JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DESOTO, Texas. NPI 1891368668 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DESOTO, TX
Registration Details
- NPI Number
- 1891368668
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2021 (5.1166057067448 yrs)
- Last Updated
- Jul 20, 2021
- License
-
13217 (TX)
Practice Information
- Address
-
1229 E PLEASANT RUN RD STE 200DESOTO, TX, 751154214Browse TX providers · Browse ZIP 75115
- Phone
- 9722264261
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DESOTO, TX
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY CLINTON MARABLE I | LCDC | 1831357706 |
| STEPHANIE STEWARD | LCDC INTERN | 1295275824 |
| TERRENCE STEVENS | LCDC | 1225899156 |
| MRS. ALISA C NORRIS | PHD LCDC-I | 1740080878 |
| TAMMY THOMPSON | LCDC | 1053289959 |
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.