MRS. Jacqueline Annette Tobar-Lax, LPC

NPI #1164732566 in Universal City, Texas

Provider Information

NPI Number: 1164732566
Entity Type: Individual
Name: MRS. Jacqueline Annette Tobar-Lax, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Oct 19, 2010
Last Updated: Jul 21, 2022

Practice Location

Address: 433 KITTY HAWK RD
City: Universal City
State: Texas
ZIP Code: 78148-3357
Phone: (210) 549-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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