Connie Jackson
Connie Jackson is a Mental Health Counselor in Kingsland, Texas. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 13
- Licensed in
- TX
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1410 Ranch Road 2900 Ste 303Kingsland, TX 78639-5853
Phone: (830) 499-3744
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 809 12th St Ste C3-B, Marble Falls, TX 78654-5180 — (830) 499-3744
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 74377 (TX) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 13344 (TX) |
Record details
| NPI number | 1265973812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2017 |
| Last updated in NPPES | October 2, 2019 |
| Mailing address | 1203 Ford St, Llano, TX 78643-2611 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Kingsland
-
Christina Susan Deloach, MED, LPC
1615 Sioux Trl, Kingsland, TX 78639-9636 · (254) 630-6169