Provider Demographics
NPI:1235587460
Name:KUEHN, JESSICA (LMFT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KUEHN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 SILVERADO DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2958
Mailing Address - Country:US
Mailing Address - Phone:469-682-9106
Mailing Address - Fax:214-432-1611
Practice Address - Street 1:6701 HERITAGE PKWY
Practice Address - Street 2:170
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-8747
Practice Address - Country:US
Practice Address - Phone:469-682-9106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202246106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist