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General NPI Number Information
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NPI Number | 1811503543
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Entity Type | Individual
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Provider Name | JACQUELINE MAREE SMITH MA, LMFT, LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 14405 WALTERS RD STE 600C
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City | HOUSTON
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State | TX
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Zip | 77014-1344
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Country | US
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Telephone | 832-978-3567
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Fax | 346-426-8189
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Provider Business Mailing Address
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Address Line | 14405 WALTERS RD STE 600C
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City | HOUSTON
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State | TX
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Zip | 77014-1344
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Country | US
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Telephone | 832-304-4755
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Fax | 346-426-8189
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203944
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 83256
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 14126
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License Number State | TX
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