Jackson, Shelley Douglas

Jackson, Shelley Douglas is an sole proprietor health care provider with primary practice located at 302 W Hopkins St Ste 4 , San Marcos TX 78666-4465. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Shelley Douglas can be contacted via phone (512) 805-6161.

Contact Information

Primary practice address
302 W Hopkins St Ste 4 San Marcos TX 78666-4465
Phone: (512) 805-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDC - 686 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC - S 11840 Texas

Profile Details

NPI number 1356678114
LBN Legal business name Jackson, Shelley Douglas
Credentials MS, LPC-S, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2009
Last updated Nov 14th, 2009 - about 16 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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