Provider Demographics
NPI:1922251164
Name:HARLOW, JACLYN HOLLY (LPC)
Entity Type:Individual
Prefix:MISS
First Name:JACLYN
Middle Name:HOLLY
Last Name:HARLOW
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 1:5899 PRESTON RD STE 404
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9590
Mailing Address - Country:US
Mailing Address - Phone:214-618-0588
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 404
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9590
Practice Address - Country:US
Practice Address - Phone:214-618-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TX86373101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator