Doctor Name: | JACKIE NELL ALLAIN |
NPI Number: | 1700861002 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C.S. |
License Number: | 12988 |
Business Practice Address: | 408 W Avenue F Midlothian, TX - 760652963 |
Business Phone Number: | 9727230044 |
Business Fax Number: | 9727752002 |
Mailing Address: | 408 W Avenue F, P.o. Box 642 MIDLOTHIAN |
State: | TX |
Postal Code: | 760652963 |
Phone Number: | 9727230044 |
Fax Number: | 9727752002 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 12988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |