Jean Petrilla Jackson is a Odessa, Texas based counselor who is specialized as Professional Counselor. Active license number of Jean Petrilla Jackson is 14966 for Professional Counselor in Texas. Her current practice location is 855 Central Dr, Odessa. Patients can book an appointment with her at 432-580-7250.
Jean Petrilla Jackson is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Jean Petrilla Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jean Petrilla Jackson |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | MA, LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 855 Central Dr, Odessa,
Texas, 79761-4200 |
| Phone: | 432-580-7250 |
| Fax: | 432-582-2020 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710048830 |
| NPI Enumeration Date: | 12 Dec, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jean Petrilla Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 14966 | Professional Counselor | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jean Petrilla Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3710LC | Other | Texas | BLUECROSS BLUESHIELD |
| 5212693 | Other | | AETNA |
| 1296590 | Other | | CIGNA |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1200 W 10th St,
Odessa, Texas |
| Zip: | 79763-3546 |
| Phone Number: | 432-580-7250 |
| Fax Number: | 432-582-2020 |
Patients can reach Jean Petrilla Jackson at
855 Central Dr, Odessa, Texas or can
call to book an appointment on 432-580-7250.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.