JEAN PETRILLA JACKSON

ODESSA, TX
NPI1710048830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  14966)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- JEAN PETRILLA JACKSON MA, LPC
855 CENTRAL DR
ODESSA, TX 79761-4200
Phone number: 432-580-7250
Mailing Address
-- JEAN PETRILLA JACKSON MA, LPC
1200 W 10TH ST
ODESSA, TX 79763-3546
Phone number: 432-580-7250