Mallory Sue Jackson, LPC-A, CSC

Professional Counselor · Gilmer, TX

Individual Active NPI

NPI number 1386513984

Practice location

359 N Cypress St Ste 102
Gilmer, TX 75644-2348
Phone
(903) 961-6501

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NPI record

NPI
1386513984
Entity type
Individual (Type 1)
Enumeration date
November 3, 2025
Last updated
November 3, 2025
Certified
November 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 98631 TX

Mailing address

1498 W Liberty Rd
Harleton, TX 75651-3726
Phone
(903) 241-1272

About Mallory Jackson

Mallory Sue Jackson, LPC-A, CSC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 359 N Cypress St Ste 102, Gilmer, TX 75644-2348. The NPI number 1386513984 was assigned on November 3, 2025 and the record was last updated on November 3, 2025.

Mallory Jackson lists a license in the registry: #98631 (TX) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Sue Jackson, LPC-A, CSC?

The NPI number is 1386513984.

What is the phone number of Mallory Jackson?

The phone number listed for the practice location is (903) 961-6501.

Where is Mallory Jackson located?

359 N Cypress St Ste 102, Gilmer, TX 75644-2348.

What is the taxonomy code for Mallory Jackson?

The primary taxonomy code is 101YP2500X – Professional Counselor.

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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