Provider Demographics
NPI:1417648452
Name:SPAULDING, JERHONDA KAYE (LPC-A, NCC)
Entity Type:Individual
Prefix:
First Name:JERHONDA
Middle Name:KAYE
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:LPC-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9717 NOVACEK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2123
Mailing Address - Country:US
Mailing Address - Phone:202-306-8804
Mailing Address - Fax:
Practice Address - Street 1:9717 NOVACEK BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2123
Practice Address - Country:US
Practice Address - Phone:202-306-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91392101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health