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Individual

MRS. JACLYN HELAINE BURSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, RPT

Contact information

Practice address
1506 N GREENVILLE AVE STE 250, ALLEN, TX 75002-8692
(214) 926-2184
(480) 287-9006
Mailing address
633 STRETFORD LN, ALLEN, TX 75002-4474
(214) 926-2184

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
62813
TX
101YP2500X
Professional Counselor
T1423
TX

Other

Enumeration date
02/20/2008
Last updated
02/04/2009
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