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Jacqueline Jernigan
Professional Counselor in Grand Prairie, Texas
NPI 1043925761

Jacqueline Jernigan is a Professional Counselor based in Dallas, TX and is specialized in Professional. Jacqueline Jernigan practices in Grand Prairie, TX. The NPI Number for Jacqueline Jernigan is 1043925761 and holds a License No. 90538 (Texas).

The current practice location address for Jacqueline Jernigan is 4683 Betts Dr Ste 403, Grand Prairie, TX and can be reached out via phone at 469-726-9813.

Location: 4683 Betts Dr Ste 403, Grand Prairie, TX, 75237-4063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043925761
Provider Name
Jacqueline Jernigan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4683 Betts Dr Ste 403, Grand Prairie, TX, 75237-4063
Phone Number
469-726-9813
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92-1779554 05 TX
institution
Provider Business Practice Location Address Details
Address
4683 Betts Dr Ste 403
City
Grand Prairie
State
Texas
Zip
75052-1807
Phone Number
469-726-9813
Fax Number
person
Provider Business Mailing Address Details
Address
4683 Betts Dr Ste 403
City
Grand Prairie
State
Texas
Zip
75052-1807
Phone Number
469-726-9813
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
90538 (Texas)
Definition
Definition to come...
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