MEDICARE: MS. DONNA MANN JARES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	70162	TX

General Provider Information

NPI Number	:	1215455357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA MANN JARES LPC

Provider Business Mailing Address
First Line	:	4916 PALMETTO ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3416
Country	:	US
Telephone Number	:	713-668-5218
Fax Number	:

Provider Business Practice Location Address
First Line	:	6032 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4210
Country	:	US
Telephone Number	:	713-970-4980
Fax Number	:	713-970-4995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	08/24/2025

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