Shane Michell Jackson LPC

  • NPI 1922173897
According to our database, the NPI number for Shane Michell Jackson LPC is 1922173897 and activated since 17 years ago. Shane Michell Jackson LPC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 115 W Tyler St, Gilmer, TX 75644. You can also contact Shane Michell Jackson LPC via telephone number is (903) 746-7643. Provider NPI information was last updated on 07/08/2007.

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Overview of Shane Michell Jackson LPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/22/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 4128
  • License State: TX

Provider Mailing Address

  • Address: Po Box 1551
    Gilmer, TX 75644
  • Phone: 903-746-7643
  • Fax: 903-843-4336

Provider Practice Location

  • Address: 115 W Tyler St
    Gilmer, TX 75644
  • Phone: 903-746-7643
  • Fax: 903-843-4336

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 4128
  • License State: TX
  • Switch: Not Answered

Legacy Identifiers

  • Provider Identifier: 16480
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: LPC

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shane Michell Jackson LPC?
  • A: The npi number for Shane Michell Jackson LPC is 1922173897.
  • Q: What are Shane Michell Jackson LPC's specialties?
  • A: Shane Michell Jackson LPC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Shane Michell Jackson LPC?
  • A: The medical license number for Shane Michell Jackson LPC is 4128 and issued in TX in USA.
  • Q: Where is Shane Michell Jackson LPC practice location?
  • A: Shane Michell Jackson LPC is practicing at 115 W Tyler St, Gilmer, TX 75644.
  • Q: How to contact Shane Michell Jackson LPC?
  • A: You can contact Shane Michell Jackson LPC via 903-746-7643.