Provider Demographics
NPI:1326134891
Name:MCGARRY, JENNIFER LANDON (MED,LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LANDON
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 CASA LINDA PLAZA
Mailing Address - Street 2:#209
Mailing Address - City:DALLAS
Mailing Address - State:TN
Mailing Address - Zip Code:75218-3471
Mailing Address - Country:US
Mailing Address - Phone:469-222-4185
Mailing Address - Fax:214-319-6960
Practice Address - Street 1:1715 OCALLA DRIVE
Practice Address - Street 2:EL CAMPO
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-4240
Practice Address - Country:US
Practice Address - Phone:469-222-4185
Practice Address - Fax:214-319-6960
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health