Provider Demographics
NPI:1265013627
Name:SATTERFIELD, JESSICA LEIGH (MA, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEIGH
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SATTERFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2106 CULLEN AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-2539
Mailing Address - Country:US
Mailing Address - Phone:737-230-8153
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR BLDG 12
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6932
Practice Address - Country:US
Practice Address - Phone:512-720-5936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health