Individual
JACQUELENE G TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
346 TRIBUTE RD, LANCASTER, TX 75146-2845
(972) 978-0877
Mailing address
346 TRIBUTE RD, LANCASTER, TX 75146-2845
(197) 297-8087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83744
TX
101YP2500X
Professional Counselor
83744
TX
Other
Enumeration date
07/11/2022
Last updated
01/25/2023
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