Individual
JESSICA GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 CENTRAL EXPY S STE 400-13, ALLEN, TX 75013-8098
(469) 640-0665
Mailing address
700 CENTRAL EXPY S STE 400-13, ALLEN, TX 75013-8098
(469) 640-0665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
80905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80905
TBHEC LICENSE NUMBER
TX
Enumeration date
02/03/2021
Last updated
08/21/2024
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