Tobar-Lax, Jacqueline Annette
Tobar-Lax, Jacqueline Annette is an sole proprietor health care provider with primary practice located at 433 Kitty Hawk Rd , Universal City TX 78148-3357. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tobar-Lax, Jacqueline Annette can be contacted via phone (210) 549-1704.Contact Information
Primary practice address
433 Kitty Hawk Rd
Universal City TX 78148-3357
Phone: (210) 549-1704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A8063 | North Carolina |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 74808 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 74808 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A8063 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 74808 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A8063 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 74808 | Texas |
Profile Details
| NPI number | 1164732566 |
|---|---|
| LBN Legal business name | Tobar-Lax, Jacqueline Annette |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Jul 21st, 2022 - about 4 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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