Individual
JENNIVE ANDREA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, CST
Contact information
Practice address
9602 TURQUOISE CRK, SAN ANTONIO, TX 78254-6761
(361) 676-2659
Mailing address
12790 FM 1560 N UNIT 704, HELOTES, TX 78023-2230
(210) 201-6904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79275
TX
Other
Enumeration date
01/17/2020
Last updated
09/25/2024
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