Organization
CEDAR PARK MINDFULNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH JAKSIK LPC (OWNER)
(830) 456-4101
Entity
Organization
Contact information
Practice address
3016 POLAR LN STE 407, CEDAR PARK, TX 78613-3050
(512) 309-1718
Mailing address
3016 POLAR LN STE 407, CEDAR PARK, TX 78613-3050
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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