Individual
ELIN JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 MONACO DR, ARLINGTON, TX 76010-4718
(817) 261-2970
Mailing address
2020 MONACO DR, ARLINGTON, TX 76010-4718
(817) 261-2970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01870
TX
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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