Healthcare Provider Details

I. General information

NPI: 1679494256
Provider Name (Legal Business Name): ZAINAB JARJU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5899 PRESTON RD STE 1102
FRISCO TX
75034-9594
US

IV. Provider business mailing address

5899 PRESTON RD STE 1102
FRISCO TX
75034-9594
US

V. Phone/Fax

Practice location:
  • Phone: 608-209-2406
  • Fax:
Mailing address:
  • Phone: 608-209-2406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101933
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: