NPI 1164235644

Jakara Henderson

Practitioner Peer Specialist Dallas, TX

Practice location

Address: 1610 S Malcolm X Blvd STE 320, Dallas, TX 75226-2100
Phone: (409) 597-5673
Mailing address: 608 S McKinney St, Mexia, TX 76667-3644

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1164235644
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2025
Record last updated: 29 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.