Individual
JACQUELINE M SIMIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC-I
Contact information
Practice address
2021 GUADALUPE ST STE 260, AUSTIN, TX 78705-5654
(646) 453-6777
(833) 900-1747
Mailing address
4930 SUGAR GROVE BLVD APT 2703, STAFFORD, TX 77477-2607
(832) 449-0812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89291
TX
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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