Provider Demographics
NPI:1225367675
Name:MCVEAN, JOLENE C (MED, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOLENE
Middle Name:C
Last Name:MCVEAN
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 542781
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-2781
Mailing Address - Country:US
Mailing Address - Phone:214-417-7803
Mailing Address - Fax:888-965-6186
Practice Address - Street 1:2300 VALLEY VIEW LN STE 237
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5014
Practice Address - Country:US
Practice Address - Phone:214-417-7803
Practice Address - Fax:888-965-6186
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional