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1497093116
EBONEY JACKSON
SAN ANTONIO, TX
NPI
1497093116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: TX 32651)
Enumeration Date
2013-01-31
Last Update Date
2022-11-08
Business Address
EBONEY JACKSON PhD
6711 S NEW BRAUNFELS AVE SUITE 100
SAN ANTONIO, TX 78223-3005
Phone number: 210-532-8811
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Mailing Address
EBONEY JACKSON PhD
6502 NURSERY DR. STE. 100
VICTORIA, TX 77904
Phone number: 361-575-0611
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