Individual
JAKEITHA SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(817) 330-2816
Mailing address
10231 COUNTRY SQUIRE BLVD, BAYTOWN, TX 77523-0746
(832) 984-1777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96444
TX
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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