Jaecks, Bridget
Jaecks, Bridget is an sole proprietor health care provider with primary practice located at 2002 S Stemmons Fwy Suite 230, Lake Dallas TX 75065-3632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jaecks, Bridget can be contacted via phone (903) 714-7069.Contact Information
Primary practice address
2002 S Stemmons Fwy Suite 230
Lake Dallas TX 75065-3632
Phone: (903) 714-7069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9504 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 64622 | Texas |
Profile Details
| NPI number | 1144642307 |
|---|---|
| LBN Legal business name | Jaecks, Bridget |
| Credentials | MS, LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2014 |
| Last updated | Jan 7th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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