Individual provider · Type 1 NPI

Jacqueline Jayde Young, LPC

Professional Counselor · Fort Worth, TX

NPI number 1629442900 Active

Practice location

4516 Boat Club Rd Ste 106
Fort Worth, TX 76135-7020

Call (817) 238-0106 Map

Fax (817) 238-8333

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X72131 (TX)

Professional Counselor: Definition to come...

13 other providers at this address

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About NPI 1629442900

Jacqueline Jayde Young, LPC's National Provider Identifier is 1629442900, issued on Nov 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 24, 2015.