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Individual
JAQUAVIA LYNN DEMUS
Active
Individual
JAQUAVIA LYNN DEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW, LCDC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15954
TX
101YM0800X
Mental Health Counselor
Primary
91346
TX
104100000X
Social Worker
61809
TX
Other
Enumeration date
09/15/2021
Last updated
06/02/2025
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