MEDICARE: JENNIFER NICOLE NAVARRO 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	77318	TX

General Provider Information

NPI Number	:	1013566868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER NICOLE NAVARRO LPC

Provider Business Mailing Address
First Line	:	24819 PROVIDENCE HEIGHTS WAY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3505
Country	:	US
Telephone Number	:	281-704-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	12808 W AIRPORT BLVD STE 275L
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6245
Country	:	US
Telephone Number	:	281-704-3743
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	06/26/2023

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