Individual
JENNIFER JO MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC - ASSOCIATE
Contact information
Practice address
1715 W FM 1626 STE 102, MANCHACA, TX 78652-3549
(512) 280-5315
(512) 280-5316
Mailing address
1715 W FM 1626 STE 102, MANCHACA, TX 78652-3549
(512) 280-5315
(512) 280-5316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82106
LPC-ASSOCIATE
TX
Enumeration date
05/11/2021
Last updated
05/11/2021
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