Individual
JACLYN LOUISE FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8821 DAVIS BLVD STE 300, KELLER, TX 76248-0328
(469) 269-0157
Mailing address
1800 DICKINSON AVE, FORT WORTH, TX 76120-5069
(310) 429-1929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90255
TX
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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