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Individual
JACKIE NELL ALLAIN
Active
Individual
JACKIE NELL ALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.S.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126066
NORTHSTAR
TX
Enumeration date
12/08/2005
Last updated
10/02/2007
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