Provider Demographics
NPI:1417518606
Name:ANGUISH, JANN C (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANN
Middle Name:C
Last Name:ANGUISH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12337 JONES RD STE 422
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4845
Mailing Address - Country:US
Mailing Address - Phone:832-493-6965
Mailing Address - Fax:855-317-1149
Practice Address - Street 1:12337 JONES RD STE 422
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4845
Practice Address - Country:US
Practice Address - Phone:281-826-9777
Practice Address - Fax:281-369-6531
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health