| Jessica Locuson Lcsw Pllc | |
|
15250 Quorum Dr Addison TX 75001-4611 | |
| (469) 844-0112 | |
| Not Available |
| Full Name | Jessica Locuson Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15250 Quorum Dr, Addison, Texas |
| Authorized Official Name and Position | Jessica Locuson (PRESIDENT) |
| Authorized Official Contact | 4698440112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Locuson Lcsw Pllc 15250 Quorum Dr Addison TX 75001-4611 Ph: (469) 844-0112 | Jessica Locuson Lcsw Pllc 15250 Quorum Dr Addison TX 75001-4611 Ph: (469) 844-0112 |
| NPI Number | 1770187478 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770187478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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