Jackson, Marilyn Renee

Jackson, Marilyn Renee is an sole proprietor health care provider with primary practice located at 1409 Mossy Rdg , Desoto TX 75115-9700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Marilyn Renee can be contacted via phone (214) 682-0432.

Contact Information

Primary practice address
1409 Mossy Rdg Desoto TX 75115-9700
Phone: (214) 682-0432
Fax: (972) 283-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201027 Texas

Profile Details

NPI number 1669693453
LBN Legal business name Jackson, Marilyn Renee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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