MEDICARE: JESSLYN SEARS LPC

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
1	101Y00000X	Counselor	92592	TX

General Provider Information

NPI Number	:	1376406934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSLYN SEARS LPC

Provider Business Mailing Address
First Line	:	750 FORT WORTH AVE APT 418
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1840
Country	:	US
Telephone Number	:	972-697-6373
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 FORT WORTH AVE APT 418
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1840
Country	:	US
Telephone Number	:	972-697-6373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ JESSLYN SEARS LPC” Practice Location

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