Shanta D Jackson
Professional Counselor Mental Health Counselor
1636 N Hampton Rd Ste 101
DeSoto
, Texas 75115-8600
Shanta D Jackson
Professional Counselor Mental Health Counselor
1636 N Hampton Rd Ste 101
DeSoto
, Texas 75115-8600
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About
Features
Specialties
- Mental Health Counselor
- Professional Counselor
Languages spoken
- English
Location
First Address
- Shanta D Jackson
- 605 Candellia Dr
- Desoto, TX
- Zip : 75115-6655
- Phone :
Second Address
- Shanta D Jackson
- 1636 N Hampton Rd Ste 101
- Desoto, TX
- Zip : 75115-8600
- Phone : (469) 751-7796
Reviews
FAQs
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What type of doctor is Shanta D Jackson
In what state does Shanta D Jackson practice in?
Where is Shanta D Jackson ’s practice located?
What is Shanta D Jackson ’s gender?
Is Shanta D Jackson a sole practitioner?
Is Shanta D Jackson accepting new patients?
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Does Shanta D Jackson accept insurance?
Does Shanta D Jackson offers telemedicine?
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What is Shanta D Jackson ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | 73107 | TX |
| Y | 101YP2500X | Professional Counselor | 73107 | TX |
National Provider Identifier
| NPI | 1003322827 |
|---|---|
| Provider Name | Shanta D Jackson |
| First Address | Desoto, TX 75115-6655 |
| Second Address | Desoto, TX 75115-8600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2017 |
| Last Update Date | 15/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.