Individual
DANIELLE FORTUNE-JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
221 RANGEL DR, LIBERTY HILL, TX 78642-2373
(512) 639-1300
Mailing address
221 RANGEL DR, LIBERTY HILL, TX 78642-2373
(512) 639-1300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100007
TX
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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