| Jean Petrilla Jackson, MA, LPC | |
|
855 Central Dr, Odessa, TX 79761-4200 | |
| (432) 580-7250 | |
| (432) 582-2020 |
| Full Name | Jean Petrilla Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 855 Central Dr, Odessa, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710048830 | NPI | - | NPPES |
| 3710LC | Other | TX | BLUECROSS BLUESHIELD |
| 5212693 | Other | AETNA | |
| 1296590 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14966 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Petrilla Jackson, MA, LPC 1200 W 10th St, Odessa, TX 79763-3546 Ph: (432) 580-7250 | Jean Petrilla Jackson, MA, LPC 855 Central Dr, Odessa, TX 79761-4200 Ph: (432) 580-7250 |
Abby Hulin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8233 San Diego St, Odessa, TX 79765 Phone: 432-653-9008 | |
Mrs. Nancy J Vanley, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 835 Tower Dr Ste 19, Odessa, TX 79761 Phone: 432-889-2244 | |
Amy M Jones, Counselor Medicare: Medicare Enrolled Practice Location: 3938 Lyndale Dr, Odessa, TX 79762 Phone: 432-413-8504 | |
Ballah G. Pewee, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 14235 Winners Cir Apt H114, Odessa, TX 79763 Phone: 432-599-7506 | |
Lisa Nicolle Sale, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1012 W Macarthur Ave, Odessa, TX 79763 Phone: 432-580-2607 | |
Mrs. Amy Bryant Garman, MA., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3414 Seguin, Odessa, TX 79765 Phone: 432-553-1482 | |
Candace Duniven Hennings, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1012 W Macarthur Ave, Odessa, TX 79763 Phone: 432-335-9659 Fax: 432-580-2609 |