Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremy David Fackelman, MSSTUDENTCOUNSELOR

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205463924

Mr. Jeremy David Fackelman, MSSTUDENTCOUNSELOR is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Antonio, TX
Fax: (210) 437-4774

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205463924
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSTUDENTCOUNSELOR
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020

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