Individual
JACQUELINE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROCK TREE CT, MANSFIELD, TX 76063-8554
(682) 472-3912
Mailing address
4621 S COOPER ST # 131-294, ARLINGTON, TX 76017-5866
(817) 916-4335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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