Provider Demographics
NPI:1376241505
Name:JACQUET, JOYCE LYNN (LPCS)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LYNN
Last Name:JACQUET
Suffix:
Gender:F
Credentials:LPCS
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:LYNN
Other - Last Name:JACQUET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1122 W DONOVAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-5513
Mailing Address - Country:US
Mailing Address - Phone:713-320-5949
Mailing Address - Fax:
Practice Address - Street 1:1122 W DONOVAN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-5513
Practice Address - Country:US
Practice Address - Phone:713-320-5949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty