Shackleford, Jael

Shackleford, Jael is an individual health care provider with primary practice located at 7550 Fm 1187 W , Fort Worth TX 76126-5109. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shackleford, Jael can be contacted via phone (888) 744-2779.

Contact Information

Primary practice address
7550 Fm 1187 W Fort Worth TX 76126-5109
Phone: (888) 744-2779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 87771 Texas
Behavioral Health & Social Service Providers / School 101YS0200X 87771 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 87771 Texas

Profile Details

NPI number 1548009731
LBN Legal business name Shackleford, Jael
Credentials LPC ASSOCIATE
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2024
Last updated May 20th, 2024 - about last year

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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