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NPI Code Detail

MEDICARE: MS. JACKELINE HURTADO M.ED., LPC

MEDICARE: MS. JACKELINE HURTADO M.ED., 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
1101YP2500XProfessional Counselor65735TX

General Provider Information

NPI Number : 1568734036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACKELINE HURTADO M.ED., LPC
Provider Business Mailing Address
First Line : 16423 WILLINGHAM WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77095-3941
Country : US
Telephone Number : 832-605-8715
Fax Number :
Provider Business Practice Location Address
First Line : 15840 FM 529 RD STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2569
Country : US
Telephone Number : 346-444-0706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2012
Last Update Date : 04/10/2026

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