Individual
JACLYN BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 369-0390
Mailing address
13665 TEAGUE LN UNIT 202, CORPUS CHRISTI, TX 78410-5244
(361) 229-4765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89114
TX
Other
Enumeration date
07/09/2024
Last updated
07/18/2024
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