Provider / Organization | NPI | Date Certified |
---|---|---|
SHETOCQUIA JACKSON | 1023589439 | 2024-04-06 |
Shetocquia Jackson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023589439. Registration indicates Shetocquia Jackson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Shetocquia Jackson |
Practice Office Address | 7676 HILLMONT ST STE 310G HOUSTON, TX US |
Practice Office Telephone | 8329535482 |
Mailing Address | 7676 HILLMONT ST STE 310G HOUSTON, TX 770406483 US |
Business Telephone | 8329535482 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 93452
TX |