Provider Demographics
NPI:1598101966
Name:FERDIN, JACQUELINE POSADA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:POSADA
Last Name:FERDIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-0520
Mailing Address - Country:US
Mailing Address - Phone:956-337-4735
Mailing Address - Fax:
Practice Address - Street 1:2052 BENTWOOD DR.
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-0520
Practice Address - Country:US
Practice Address - Phone:956-337-4735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10938101YA0400X
TX66908101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)