Individual provider · Type 1 NPI
Jaclyn Louise Fahey
Mental Health Counselor · Keller, TX
NPI number
1952270910
Active
Practice location
8821 Davis Blvd Ste 300
Keller, TX 76248-0328
Mailing address
1800 Dickinson Ave
Fort Worth, TX 76120-5069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 90255 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1952270910
Jaclyn Louise Fahey's National Provider Identifier is 1952270910, issued on Oct 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Keller, TX. The record was last updated on Oct 30, 2025.