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Individual
MRS. JENNIFER A JAEGER
Active
Individual
MRS. JENNIFER A JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142645401
—
TX
05
—
142645404
—
TX
01
—
275450
COMPSYCH
TX
01
—
5388 LC
BLUE CROSS BLUE SHIELD
TX
01
—
84900L
BC/BS OF TX
TX
Enumeration date
08/14/2006
Last updated
07/09/2007
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