MRS. BRIDGET JAECKS MS LPC LCDC NPI 1144642307

NPI Information

NPI: 1144642307
Provider Name: MRS. BRIDGET JAECKS, MS, LPC, LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2002 S STEMMONS FWY
SUITE 230
LAKE DALLAS, TX
ZIP 75065
Phone: (903) 714-7069
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MRS. Bridget Jaecks, MS, LPC, LCDC is a professional counselor in Lake Dallas, TX. MRS. Bridget Jaecks, MS, LPC, LCDC NPI is 1144642307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2002 S STEMMONS FWY
SUITE 230
LAKE DALLAS, TX
ZIP 75065-632
Phone: (903) 714-7069

The enumeration date for this NPI number is 1/7/2014 and was last updated on 1/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	9504	TEXAS	No
2	101YP2500X	Counselor	Professional	64622	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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