Individual
MISTY MICHELLE JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 OLD TOWN BLVD N UNIT 200, LANTANA, TX 76226-3954
(940) 294-7061
Mailing address
10752 KITTERING TRL, HASLET, TX 76052-6116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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