Individual
JACOB GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOCIATE
Contact information
Practice address
719 S AUSTIN ST, AMARILLO, TX 79106-6714
(806) 437-2360
Mailing address
1110 BROADMOOR ST, AMARILLO, TX 79106-5531
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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