MEDICARE: MS. JESSICA GURAL 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	101YM0800X	Mental Health Counselor	TPMC1615	FL
2	101YP2500X	Professional Counselor	71286	TX

General Provider Information

NPI Number	:	1598186280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA GURAL LPC

Provider Business Mailing Address
First Line	:	2316 FOLKSTONE WAY
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-7972
Country	:	US
Telephone Number	:	682-593-3760
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 FOLKSTONE WAY
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-7972
Country	:	US
Telephone Number	:	682-593-3760
Fax Number	:

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

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	05/27/2026

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