MRS. DERRIKA LYONS JACKSON LPC I
NPI 1376725291
Counselor - Professional in Livingston, TX
- Individual
- Female
- Counselor
- Professional
About DERRIKA JACKSON
This page provides the complete NPI Profile along with additional information for Derrika Jackson, a provider established in Livingston, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1376725291 assigned on December 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 62371 (TX). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1376725291 Verify this NPI
- Provider Name
- MRS. DERRIKA LYONS JACKSON LPC I
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 201 SKYVIEW DR LIVINGSTON, TX 77351
- Location Phone
- (936) 327-5170
- Mailing Address
- 201 SKYVIEW DR LIVINGSTON, TX 77351
- Mailing Phone
- (936) 327-5170
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-03-2007
- Last Update Date
- 12-03-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 62371
- License State
- TX
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376725291, enumerated as an "individual" on December 03, 2007.
The provider is located at 201 SKYVIEW DR LIVINGSTON, TX 77351 and the phone number is (936) 327-5170.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
