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Individual
MRS. JACQUELYN L HYDER
Active
Individual
MRS. JACQUELYN L HYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC & LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA046
MD
101YM0800X
Mental Health Counselor
Primary
LC0911
MD
101YP1600X
Pastoral Counselor
LC0911
MD
101YP2500X
Professional Counselor
LC0911
MD
Other
Enumeration date
01/25/2007
Last updated
09/11/2025
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