Jacy Blake Fisette

NPI #1003603002 in Austin, Texas

Provider Information

NPI Number: 1003603002
Entity Type: Individual
Name: Jacy Blake Fisette
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 22, 2025
Last Updated: Apr 22, 2025

Practice Location

Address: 2604 COLQUITT CV # B
City: Austin
State: Texas
ZIP Code: 78748-5952
Phone: (512) 809-4757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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