MR. BRENTOM E. JACKSON LPC NPI 1134632441

NPI Information

NPI: 1134632441
Provider Name: MR. BRENTOM E. JACKSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6961 NE LOOP 820 APT 423
NORTH RICHLAND HILLS, TX
ZIP 76180
Phone: (512) 786-3107
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MR. Brentom E. Jackson, LPC is a professional counselor in North Richland Hills, TX. MR. Brentom E. Jackson, LPC NPI is 1134632441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6961 NE LOOP 820 APT 423
NORTH RICHLAND HILLS, TX
ZIP 76180-694
Phone: (512) 786-3107

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	68645	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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