Individual
DR. JENNIFER LACEY HEISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMFT
Contact information
Practice address
4630 50TH ST STE 507, LUBBOCK, TX 79414-3520
(806) 544-4045
Mailing address
4630 50TH ST STE 507, LUBBOCK, TX 79414-3520
(806) 544-4045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
200950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200950
LMFT
TX
Enumeration date
06/14/2007
Last updated
11/13/2019
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