Kayla Dawn Jackson, LCSW
Social Worker, Clinical in Kingwood, TX. Individual provider (NPI-1).
NPI number1982120309
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1982120309
- Entity type
- Individual (NPI-1)
- Name
- Kayla Dawn Jackson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2017
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 59909 | TX | Yes |
Practice location
2323 Timber Shadows DrKingwood, TX 77339-2028
Phone 832-818-6389
Mailing address
8314 Shoregrove DrHumble, TX 77346-1620
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