MEDICARE: JENNIFER ANN YOON 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

General Provider Information

NPI Number	:	1881395242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN YOON LPC

Provider Business Mailing Address
First Line	:	125 WHITE ASTER CT
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-2710
Country	:	US
Telephone Number	:	719-338-1590
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 S IH 35 STE 200
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2820
Country	:	US
Telephone Number	:	884-374-5066
Fax Number	:

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

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	03/13/2023

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Directions to “ JENNIFER ANN YOON LPC” Practice Location

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