Jada CM Jackson, ED.D

Professional Counselor · Lancaster, TX

Individual Active NPI

NPI number 1184158149

Practice location

711 Nichols Dr
Lancaster, TX 75146-7235
Phone
(407) 921-0836

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NPI record

NPI
1184158149
Entity type
Individual (Type 1)
Enumeration date
April 17, 2017
Last updated
April 17, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 75885 TX
Mental Health Counselor 101YM0800X 12331 FL

Mailing address

5050 Quorum Dr
700
Dallas, TX 75254-7564
Phone
(407) 921-0836

About Jada Jackson

Jada CM Jackson, ED.D is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 711 Nichols Dr, Lancaster, TX 75146-7235. The NPI number 1184158149 was assigned on April 17, 2017 and the record was last updated on April 17, 2017.

Jada Jackson lists 2 licenses in the registry: #75885 (TX) for Professional Counselor; #12331 (FL) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jada CM Jackson, ED.D?

The NPI number is 1184158149.

What is the phone number of Jada Jackson?

The phone number listed for the practice location is (407) 921-0836.

Where is Jada Jackson located?

711 Nichols Dr, Lancaster, TX 75146-7235.

What is the taxonomy code for Jada Jackson?

The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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