| Monica P. Jackson | |
|
24800 Interstate 45 N Ste 240 Spring TX 77386-2347 | |
| (832) 323-9222 | |
| (832) 442-4843 |
| Full Name | Monica P. Jackson |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24800 Interstate 45 N Ste 240, Spring, Texas |
| Authorized Official Name and Position | Monica P. Jackson (ONWER/ADMINISTRATOR - LPC) |
| Authorized Official Contact | 7133939779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monica P. Jackson Po Box 1986 Conroe TX 77305-1986 Ph: (832) 323-9222 | Monica P. Jackson 24800 Interstate 45 N Ste 240 Spring TX 77386-2347 Ph: (832) 323-9222 |
| NPI Number | 1437783685 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 08/12/2023 |
| Certification Date | 08/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437783685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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