IndividualActive
Mallory Jackson, LPC-A, CSC
NPI 1386513984 · Professional Counselor · Gilmer, TX
Provider details
- NPI number
- 1386513984
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-A, CSC
- Sex
- Female
- Sole proprietor
- No
- License
- 98631 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
359 N Cypress St Ste 102
Gilmer, TX 75644-2348
Phone: (903) 961-6501
Approximate (ZIP-level) locationGet directions
Mailing address
1498 W Liberty Rd
Harleton, TX 75651-3726
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-03
- Certified
- 2025-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.