person
Jacqueline Mary Williston, LPC,LCDC
Professional Counselor in Azle, Texas
NPI 1780305102

Jacqueline Mary Williston is a Professional Counselor based in Euless, TX and is specialized in Professional. Jacqueline Mary Williston practices in Azle, TX and has the professional credentials of LPC,LCDC. The NPI Number for Jacqueline Mary Williston is 1780305102 and holds a License No. 15454 (Texas).

The current practice location address for Jacqueline Mary Williston is 173 W Main St Ste 6, Azle, TX and can be reached out via phone at 817-381-2290 and via fax at 888-909-5191.

Location: 173 W Main St Ste 6, Azle, TX, 76039-7453
person
Provider Profile Details
NPI Number
1780305102
Provider Name
Jacqueline Mary Williston
Credential
LPC,LCDC
Provider Entity Type
Individual
Gender
Female
Address
173 W Main St Ste 6, Azle, TX, 76039-7453
Phone Number
817-381-2290
Fax Number
888-909-5191
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
173 W Main St Ste 6
City
State
Zip
76020-3117
Phone Number
817-381-2290
Fax Number
888-909-5191
person
Provider Business Mailing Address Details
Address
173 W Main St Ste 6
City
State
Zip
76020-3117
Phone Number
817-381-2290
Fax Number
888-909-5191
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
85356 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15454 (Texas)
Definition
Definition to come...
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