Individual
MS. JANA KIM DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-4862
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14298
TX
101YP2500X
Professional Counselor
14298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095777101
—
TX
01
—
4128LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/09/2006
Last updated
06/12/2024
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