Individual provider · Type 1 NPI
Bridget Jaecks, MS, LPC, LCDC
Professional Counselor · Lake Dallas, TX
NPI number
1144642307
Active
Practice location
2002 S Stemmons Fwy, Suite 230
Lake Dallas, TX 75065-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9504 (TX) |
| Professional Counselor Primary | 101YP2500X | 64622 (TX) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Lake Dallas
About NPI 1144642307
Bridget Jaecks, MS, LPC, LCDC's National Provider Identifier is 1144642307, issued on Jan 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Dallas, TX. The record was last updated on Jan 7, 2014.