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Individual

JAQUAVIA LYNN DEMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBSW, LCDC, LPC

Contact information

Practice address
1928 ACKLEN RUN DR, ROSHARON, TX 77583-2901
(346) 775-1129
Mailing address
1928 ACKLEN RUN DR, ROSHARON, TX 77583-2901
(346) 775-1129

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15954
TX
101YM0800X
Mental Health Counselor
Primary
91346
TX
104100000X
Social Worker
61809
TX

Other

Enumeration date
09/15/2021
Last updated
06/02/2025
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