Individual
COURTNEY D JAECKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6373 COUNTY ROAD 2520, ROYSE CITY, TX 75189-8017
(323) 639-8463
Mailing address
PO BOX 155, ROYSE CITY, TX 75189-0155
(214) 415-5123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78798
TX
Other
Enumeration date
09/23/2020
Last updated
06/20/2023
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