JACQUELINE KAY JACKSON LCDC NPI 1598918328

NPI Information

  • NPI: 1598918328
  • Provider Name: JACQUELINE KAY JACKSON, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 201 SOUTH TYLER
    DALLAS, TX
    ZIP 75208
  • Phone: (214) 942-5166

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NPI Details

Jacqueline Kay Jackson, LCDC is an addiction (substance use disorder) counselor in Dallas, TX. Jacqueline Kay Jackson, LCDC NPI is 1598918328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 SOUTH TYLER
DALLAS, TX
ZIP 75208
Phone: (214) 942-5166
Fax: (214) 942-6006

The enumeration date for this NPI number is 10/24/2008 and was last updated on 10/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)5461TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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