Provider Demographics
NPI:1407919095
Name:ESTES, JEANNE LYNN (LPC, MFT, NCC)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:LYNN
Last Name:ESTES
Suffix:
Gender:F
Credentials:LPC, MFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17705 HALE AVE STE F3
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-4349
Mailing Address - Country:US
Mailing Address - Phone:408-300-2380
Mailing Address - Fax:
Practice Address - Street 1:17705 HALE AVE STE F3
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4349
Practice Address - Country:US
Practice Address - Phone:408-300-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15082101YP2500X
CA48855106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15082OtherLPC LICENSE
CA48855OtherMFT LICENSE