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Individual
JACOB MICHAEL PARKS
Active
Individual
JACOB MICHAEL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
66097
TX
106H00000X
Marriage & Family Therapist
201642
TX
Other
Enumeration date
08/10/2010
Last updated
03/21/2024
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