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1477319119
TISHARA A. JACKSON
FORT WORTH, TX
NPI
1477319119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 15299)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
TISHARA A. JACKSON Ed.D, LCDC, CSC
8201 SOUTHBROOK CIR
FORT WORTH, TX 76134-5332
Phone number: 773-996-3797
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Mailing Address
TISHARA A. JACKSON Ed.D, LCDC, CSC
8201 SOUTHBROOK CIR
FORT WORTH, TX 76134-5332
Phone number: 773-996-3797
Copy
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