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

Individual provider Professional Counselor · NPI 1639530215

Corby Ryan Jackson is a Professional Counselor in Dallas, Texas. Works from 3 locations. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11300 N Central Expy Ste 400
Dallas, TX 75243-6712
Phone: (844) 824-8775
Fax: (281) 648-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1225 Richards St, Joliet, IL 60433-2745 — (708) 768-2144
  • 2319 Manhattan Rd, Joliet, IL 60433-8605 — (815) 314-0533

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 95036 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 180.015589 (IL)

Record details

NPI number1639530215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2016
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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