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Individual
MRS. JAEL SHACKLEFORD
Active
Individual
MRS. JAEL SHACKLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
87771
TX
101YP2500X
Professional Counselor
Primary
87771
TX
101YS0200X
School Counselor
87771
TX
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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