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Individual
MS. JACKELINE HURTADO
Active
Individual
MS. JACKELINE HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080462703
LEGACY COMMUNITY HEALTH SERVICES, INC MEDICAID #
TX
01
—
741819
LEGACY SITE SPECIFIC MEDICARE #
TX
Enumeration date
01/31/2012
Last updated
04/10/2026
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