| Jacqueline Mary Williston, LPC, LCDC | |
|
173 W Main St Ste 6, Azle, TX 76020-3117 | |
| (817) 381-2290 | |
| (888) 909-5191 |
| Full Name | Jacqueline Mary Williston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 173 W Main St Ste 6, Azle, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780305102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15454 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 85356 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Mary Williston, LPC, LCDC 901 Clinic Dr Ste A110, Euless, TX 76039-7453 Ph: () - | Jacqueline Mary Williston, LPC, LCDC 173 W Main St Ste 6, Azle, TX 76020-3117 Ph: (817) 381-2290 |
Launi Patrina Teal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11703 S Fm 730, Azle, TX 76020 Phone: 817-961-1553 Fax: 817-203-3969 | |
Kenya Jacobie Dequane Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7510 Fm 1886, Azle, TX 76020 Phone: 817-448-8881 | |
Sydney Montgomery, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 7510 Fm 1886, Azle, TX 76020 Phone: 817-448-8893 | |
Dr. Michael G. Ellison, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11940 Fm 730 N, Azle, TX 76020 Phone: 817-444-5800 Fax: 817-444-5800 | |
Gino Mata, LCDC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 7510 Fm 1886, Azle, TX 76020 Phone: 817-448-8893 | |
Leslie Stephens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Pecan St, Azle, TX 76020 Phone: 682-323-9938 | |
Sally Daniels, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 W Main St, Azle, TX 76020 Phone: 817-556-1762 |