Individual provider · Type 1 NPI

Jacy Rader, LPC-INTERN

Mental Health Counselor · Dallas, TX

NPI number 1063922847 Active

Practice location

9026 Garland Rd
Dallas, TX 75218-3919

Call (817) 880-4383 Map

Mailing address

2362 Oldbridge Dr
Dallas, TX 75228-5360

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X73765 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1063922847

Jacy Rader, LPC-INTERN's National Provider Identifier is 1063922847, issued on Oct 5, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Oct 5, 2017.