SHANE JACKSON, LPC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1922173897
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 4128 (TX) |
| Counselor - Mental Health | 101YM0800X | No | 16480 (TX) |
Frequently Asked Questions
NPI 1922173897 is the National Provider Identifier for SHANE JACKSON, LPC, a Counselor - Addiction (Substance Use Disorder) provider located in Gilmer, TX. This NPI was enumerated on November 22, 2006.
SHANE JACKSON, LPC practices at 115 W TYLER ST, Gilmer, TX 75644.
Quick Facts
- NPI
- 1922173897
- Type
- Individual
- Enumerated
- Nov 22, 2006
- Last Updated
- Sep 11, 2025
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