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NPI Code Detail

MEDICARE: JACLYN HERRIG COUNSELING

MEDICARE: JACLYN HERRIG COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1871451468
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACLYN HERRIG COUNSELING
Provider Business Mailing Address
First Line : 12021 SUNLAND ST
Second Line :
City : DALLAS
State : TX
Zip : 75218-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 OAK LAWN AVE STE 730
Second Line :
City : DALLAS
State : TX
Zip : 75219-6721
Country : US
Telephone Number : 972-454-9209
Fax Number :
Authorized Official
Title or Position : LPC, PMH-C, EMDR CERTIFIED
Name : JACLYN HERRIG
Credential : LPC
Telephone Number : 972-454-9209
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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