Individual provider · Type 1 NPI

Jacy Blake Fisette

Mental Health Counselor · Austin, TX

NPI number 1003603002 Active

Practice location

2604 Colquitt Cv # B
Austin, TX 78748-5952

Call (512) 809-4757 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X95636 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1003603002

Jacy Blake Fisette's National Provider Identifier is 1003603002, issued on Apr 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Apr 22, 2025.