KARA JAKUBEC (NPI# 1770134991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770134991 |
Entity Type | Individual |
Full Name | KARA JAKUBEC |
Other Name | KARA KLIESING |
Credential | M.ED., LPC |
Practice Address |
1336 County Road 23 Damon TX 77430-0048 |
Practice Telephone | 2817870768 |
Mailing Telephone | 2817870768 |
Enumeration Date | 2019-09-28 |
Last Update Date | 2019-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
78106 | TX | Behavioral Health & Social Service Providers |
Street Address |
1336 COUNTY ROAD 23 |
City | DAMON |
State | TX |
Zip Code | 77430-0048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871734871 | Texas Oncology | Physician Assistant | 920 Medical Plaza Dr., #300, The Woodlands, TX 77430 | 2009-03-20 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.