Provider Demographics
NPI:1326444878
Name:JAGER, KARLIE ANNE (MS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KARLIE
Middle Name:ANNE
Last Name:JAGER
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S KENTUCKY ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5439
Mailing Address - Country:US
Mailing Address - Phone:469-844-8662
Mailing Address - Fax:405-533-5422
Practice Address - Street 1:206 S KENTUCKY ST STE 102
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5439
Practice Address - Country:US
Practice Address - Phone:469-844-8662
Practice Address - Fax:405-533-5422
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX79397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health