Individual
JACQUELINE ANN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6000 S STAPLES ST STE 200, CORPUS CHRISTI, TX 78413-2952
(361) 225-3944
Mailing address
1815 COTTONWOOD DR, PORTLAND, TX 78374-3067
(512) 971-1089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75223
TX
Other
Enumeration date
01/12/2018
Last updated
02/12/2024
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