Healthcare Provider Details

I. General information

NPI: 1619705712
Provider Name (Legal Business Name): JENNIFER ZAVALA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4826 WESTGATE CIR N
HARLINGEN TX
78552-0031
US

IV. Provider business mailing address

4826 WESTGATE CIR N
HARLINGEN TX
78552-0031
US

V. Phone/Fax

Practice location:
  • Phone: 956-509-6714
  • Fax:
Mailing address:
  • Phone: 956-509-6714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number95091
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: