Individual provider · NPI-1

Jessica Claire Chacon

Counselor, Professional · Aubrey, TX

NPI number1386491629
StatusActive
Last updated in NPPESMay 3, 2024

Details

NPI
1386491629
Entity type
Individual (NPI-1)
Name
Jessica Claire Chacon
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2024
Certification date
May 3, 2024
Last updated
May 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

9716 Daisy Mae Lane
Aubrey, TX 76227

Phone 469-744-2636

Mailing address

9716 Daisy Mae Lane
Aubrey, TX 76227

Phone 469-744-2636

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