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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.