Individual
JACEL MARIE CALICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 CORSICANA ST, DALLAS, TX 75201-6102
(214) 743-1200
Mailing address
1818 CORSICANA ST, DALLAS, TX 75201-6102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11141
TX
Other
Enumeration date
12/05/2022
Last updated
02/08/2024
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