Individual provider · Type 1 NPI

Jacqueline Lara, LCDC

Addiction (Substance Use Disorder) Counselor · Waco, TX

NPI number 1699561001 Active

Practice location

2220 Austin Ave
Waco, TX 76701-1625

Call (254) 297-8999 Map

Fax (254) 756-3133

Mailing address

PO Box 890
Waco, TX 76703-0890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17317 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699561001

Jacqueline Lara, LCDC's National Provider Identifier is 1699561001, issued on Apr 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waco, TX. The record was last updated on Apr 15, 2025.