Individual
JANNA WALLACE-LENNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4203 WOODCOCK DR STE 216, SAN ANTONIO, TX 78228-1312
(210) 564-9116
(210) 564-9087
Mailing address
100 ELLIS POND CT, WEATHERFORD, TX 76085-1650
(661) 860-2189
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12844
TX
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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