MEDICARE: JENNA BINFORD MA, LPCA

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	101Y00000X	Counselor	96913	TX

General Provider Information

NPI Number	:	1629880398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA BINFORD MA, LPCA

Provider Business Mailing Address
First Line	:	21619 ROYAL MELBOURNE CT
Second Line	:
City	:	PORTER
State	:	TX
Zip	:	77365-6571
Country	:	US
Telephone Number	:	281-235-8664
Fax Number	:

Provider Business Practice Location Address
First Line	:	21619 ROYAL MELBOURNE CT
Second Line	:
City	:	PORTER
State	:	TX
Zip	:	77365-6571
Country	:	US
Telephone Number	:	281-235-8664
Fax Number	:

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

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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