| Jessica Acker Lpc, Inc. | |
|
1605 Beech St Ste A2 El Paso TX 79925-1101 | |
| (915) 549-5308 | |
| (915) 881-8788 |
| Full Name | Jessica Acker Lpc, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1605 Beech St, El Paso, Texas |
| Authorized Official Name and Position | Jessica Acker (OWNER) |
| Authorized Official Contact | 9155495308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Acker Lpc, Inc. 10935 Ben Srenshaw Ste 100 El Paso TX 79935 Ph: (915) 549-5308 | Jessica Acker Lpc, Inc. 1605 Beech St Ste A2 El Paso TX 79925-1101 Ph: (915) 549-5308 |
| NPI Number | 1538452743 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538452743 | NPI | - | NPPES |
| 201937404 | Medicaid | TX | |
| 280611901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 63041 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 63041 (Texas) | Secondary |
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