IndividualActive
Jakara Henderson
NPI 1164235644 · Peer Specialist · Dallas, TX
Provider details
- NPI number
- 1164235644
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1610 S Malcolm X Blvd Ste 320
Dallas, TX 75226-2100
Phone: (409) 597-5673
Approximate (ZIP-level) locationGet directions
Mailing address
608 S Mckinney St
Mexia, TX 76667-3644
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.