SHANTA JACKSON

Counselor - Professional

Active Individual
NPI: 1003322827

Practice Address

445 E FM 1382 STE 3
Cedar Hill, TX 75104

Phone: (214) 699-7908

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 73107 (TX)
Counselor - Professional 101YP2500X Yes 73107 (TX)

Frequently Asked Questions

NPI 1003322827 is the National Provider Identifier for SHANTA JACKSON, a Counselor - Professional provider located in Cedar Hill, TX. This NPI was enumerated on December 15, 2017.
SHANTA JACKSON practices at 445 E FM 1382 STE 3, Cedar Hill, TX 75104.

Quick Facts

NPI
1003322827
Type
Individual
Enumerated
Dec 15, 2017
Last Updated
Aug 20, 2024

Nearby Providers