Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anissa Jackson, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205679875

Anissa Jackson, LCDC is an Addiction (Substance Use Disorder) Counselor in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

1601 Elm St Ste 4360
Dallas, TX 75201-4701
Phone: (562) 296-2730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15987 (TX)

Record details

NPI number1205679875
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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