Illya Jackson

NPI # 

Practice Address:

1518 Vaughn Blvd

Ft Worth, TX, 76105-2307

Practice Phone:

214-515-2079

License Number:

IACCP0064

License State:

CA

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Marriage & Family Therapist

Taxonomy Code:

106H00000X

Updated by NPPES on 7/2/2015. You can view the original data set for NPI # 1700269149 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

Descriptive Alt Text

Illya Jackson 's

CMS CPT® coding data

Prescription Medicine Icon

Illya Jackson 's

CMS prescription data

Nearby Marriage & Family Therapist Physicians

NPI Scope Website Logo

© NPI Scope LLC 2025 - All rights reserved.

The information on npiscope.com is based upon data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA), and is provided "AS IS", subject to address and contact information verification. We do not guarantee the accuracy and/or reliability of the contents found on npiscope.com. Healthcare provider information may be obtained directly from the HHS under the FOIA. In the event of a medical emergency, please dial 911 or your local emergency services number immediately. This website is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should not be relied upon as such.