Provider Demographics
NPI:1164449815
Name:TREES, JANICE JURADO (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:JURADO
Last Name:TREES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6067 LORETTA DR
Mailing Address - Street 2:
Mailing Address - City:CHRISTOVAL
Mailing Address - State:TX
Mailing Address - Zip Code:76935-4331
Mailing Address - Country:US
Mailing Address - Phone:325-656-6586
Mailing Address - Fax:
Practice Address - Street 1:6067 LORETTA DR
Practice Address - Street 2:
Practice Address - City:CHRISTOVAL
Practice Address - State:TX
Practice Address - Zip Code:76935-4331
Practice Address - Country:US
Practice Address - Phone:325-896-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16874101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional