Individual
JACQUELINE LALLY MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21252 GATHERING OAK # 106, SAN ANTONIO, TX 78260-3458
(830) 730-6090
(830) 455-4355
Mailing address
10809 WESTWOOD LOOP APT 1334, SAN ANTONIO, TX 78254-5709
(985) 640-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7452
LA
101YM0800X
Mental Health Counselor
Primary
92836
TX
Other
Enumeration date
07/03/2018
Last updated
09/25/2023
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