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1619501004
JORDAN JACKSON
WEST LAKE HILLS, TX
NPI
1619501004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-02-25
Last Update Date
2020-02-28
Business Address
JORDAN JACKSON LPC-INTERN
3355 BEE CAVES RD STE 101
WEST LAKE HILLS, TX 78746-6673
Phone number: 512-636-0104
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Mailing Address
JORDAN JACKSON LPC-INTERN
345 WINECUP WAY
AUSTIN, TX 78737-4562
Phone number: 832-517-6355
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