Jacquelin Nickole Psota, LCP

NPI #1659420339 in Emporia, Kansas

Provider Information

NPI Number: 1659420339
Entity Type: Individual
Name: Jacquelin Nickole Psota, LCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: LCP
Enumeration Date: Jan 10, 2007
Last Updated: Feb 4, 2021

Practice Location

Address: 614 MERCHANT ST
City: Emporia
State: Kansas
ZIP Code: 66801-2859
Phone: (620) 794-8616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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