Individual
JOCELYN GUADALUPE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LPCC, MFTC
Contact information
Practice address
8201 PRAIRIE RYE DR, LAGO VISTA, TX 78645-2134
(281) 896-7900
Mailing address
8201 PRAIRIE RYE DR, LAGO VISTA, TX 78645-2134
(281) 896-7900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001561
CO
106H00000X
Marriage & Family Therapist
MFTC.0013929
CO
Other
Enumeration date
07/16/2020
Last updated
06/29/2023
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