Individual provider · Type 1 NPI
Jacqueline Lally Mora, LPC
Mental Health Counselor · San Antonio, TX
NPI number
1831685759
Active
Practice location
21252 Gathering Oak # 106
San Antonio, TX 78260-3458
Fax (830) 455-4355
Mailing address
10809 Westwood Loop Apt 1334
San Antonio, TX 78254-5709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 7452 (LA) |
| Mental Health Counselor Primary | 101YM0800X | 92836 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1831685759
Jacqueline Lally Mora, LPC's National Provider Identifier is 1831685759, issued on Jul 3, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Sep 25, 2023.