Individual
JACQUELINE CARLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1303 COUNTY ROAD 4797, SPRINGTOWN, TX 76082-4948
(505) 554-9720
Mailing address
1303 COUNTY ROAD 4797, SPRINGTOWN, TX 76082-4948
(505) 554-9720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92573
TX
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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