MEDICARE: MRS. JENNIFER HAMBRIGHT LPC, LCDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	13721	TX
2	106H00000X	Marriage & Family Therapist	204504	TX
3	101YP2500X	Professional Counselor	81814	TX

General Provider Information

NPI Number	:	1285109595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER HAMBRIGHT LPC, LCDC

Provider Business Mailing Address
First Line	:	318 E NAKOMA ST STE 211
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2752
Country	:	US
Telephone Number	:	210-802-1561
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 E NAKOMA ST STE 211
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2752
Country	:	US
Telephone Number	:	210-802-1561
Fax Number	:

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

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	07/01/2025

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