Jackson, Titania

Jackson, Titania is an sole proprietor health care provider with primary practice located at 610 N Loop 336 E , Conroe TX 77301-1437. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Titania can be contacted via phone (281) 742-1142.

Contact Information

Primary practice address
610 N Loop 336 E Conroe TX 77301-1437
Phone: (281) 742-1142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 68581 Texas

Profile Details

NPI number 1083079511
LBN Legal business name Jackson, Titania
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Apr 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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