Individual
JACQLYN DANIELLE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 KINGWOOD DR STE 204, KINGWOOD, TX 77339-3000
(281) 772-3422
Mailing address
1710 OLD ALVIN RD APT 9203, PEARLAND, TX 77581-3012
(281) 772-3422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79341
TX
Other
Enumeration date
11/09/2020
Last updated
10/04/2022
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