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Individual
JACQUELINE R WESLEY
Active
Individual
JACQUELINE R WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84083
TX
101YP2500X
Professional Counselor
Primary
84083
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/01/2019
Last updated
11/11/2024
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