| Jccta | |
|
604 Strada Cir Mansfield TX 76063 | |
| (817) 453-2400 | |
| (817) 453-2414 |
| Full Name | Jccta |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 604 Strada Cir, Mansfield, Texas |
| Authorized Official Name and Position | Jessica O Jones (OWNER) |
| Authorized Official Contact | 8174532400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jccta 604 Strada Cir Mansfield TX 76063 Ph: (817) 453-2400 | Jccta 604 Strada Cir Mansfield TX 76063 Ph: (817) 453-2400 |
| NPI Number | 1447534565 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447534565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 34993 (Texas) | Primary |
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