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Individual
MRS. JACQUELINE ANNETTE TOBAR-LAX
Active
Individual
MRS. JACQUELINE ANNETTE TOBAR-LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
74808
TX
101Y00000X
Counselor
A8063
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
74808
TX
101YM0800X
Mental Health Counselor
74808
TX
101YM0800X
Mental Health Counselor
A8063
NC
101YP2500X
Professional Counselor
Primary
74808
TX
101YP2500X
Professional Counselor
A8063
NC
Other
Enumeration date
10/19/2010
Last updated
07/21/2022
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