NPI 1962842237 · live from the CMS NPI Registry
Jaclyn Nicole Abell, LPC, NCC
Counselor, Mental Health in Tyler, TX. National Provider Identifier 1962842237, active.
NPI record
| NPI | 1962842237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1101 E Southeast Loop 323 Ste 225, Tyler, TX 75701 |
| Practice phone | 430-220-0177 |
| Mailing address | 1101 Ese Loop323 Ste 225, Tyler, TX 75701 |
| Enumerated | July 1, 2013 |
| Last updated | March 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 68051 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.