Provider Demographics
NPI:1083246664
Name:RECI, JENNIFER ELIZABETH
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:RECI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 VIRGINIA PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5401
Mailing Address - Country:US
Mailing Address - Phone:214-865-6181
Mailing Address - Fax:214-865-6181
Practice Address - Street 1:6951 VIRGINIA PKWY STE 310
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5401
Practice Address - Country:US
Practice Address - Phone:214-865-6181
Practice Address - Fax:214-865-6181
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional