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NPI Code Detail

MEDICARE: JESSICA KING LPC-A

MEDICARE:   JESSICA  KING  LPC-A
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
1101YP2500XProfessional Counselor93437TX

General Provider Information

NPI Number : 1932960457
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA KING LPC-A
Provider Business Mailing Address
First Line : 7807 MIREILLE MIST
Second Line :
City : BOERNE
State : TX
Zip : 78015-6609
Country : US
Telephone Number : 936-524-9994
Fax Number :
Provider Business Practice Location Address
First Line : 4151 SOUTHWEST FWY STE 760
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7306
Country : US
Telephone Number : 713-364-9317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ JESSICA KING LPC-A” Practice Location

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