Provider Demographics
NPI:1376313817
Name:NGUYEN, JENNY TAM (LMFT-A)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:TAM
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6953 ARDMORE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2308
Mailing Address - Country:US
Mailing Address - Phone:713-820-2499
Mailing Address - Fax:
Practice Address - Street 1:6953 ARDMORE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2308
Practice Address - Country:US
Practice Address - Phone:346-327-5097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist