| NPI | 1922773456 |
|---|---|
| Doing Business As | JESSICA VALENCIA-FAGOT, PH.D. |
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE VALENCIA-FAGOT Psychologist 512-643-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-06-11 |