Individual
JACQUE' TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4645 AVON LN STE 255, FRISCO, TX 75033-1212
(214) 836-8296
Mailing address
2313 COVEY CT, LITTLE ELM, TX 75068-3723
(214) 836-8296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84154
TX
101YP2500X
Professional Counselor
84154
TX
Other
Enumeration date
02/15/2022
Last updated
08/08/2025
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