Individual
JACLYN NICOLE SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(915) 422-6462
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(915) 422-6462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
65085
TX
104100000X
Social Worker
Primary
65085
TX
Other
Enumeration date
09/25/2023
Last updated
10/10/2023
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